Job Application

Let’s start with your name, email, & phone

Please provide your full name, email, and phone number to be contacted about your employment application.

Enter your full name*

Enter your email*

Enter your phone number*

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Personal Details

Please provide your earliest start date, desired salary, and high school information in the fields below.

Date you could start work*

Desired Salary*

Do you have a High School Diploma or GED?*

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Position Information

Please select all of the following that apply. Feel free to select multiple options.

What position are you applying for?*

Full Time or Part Time?*

Preferred shift time(s)*

Days

Evenings

Preferred shift day(s)*

Swing

Graveyard

Weekends

Status*

Regular

Temporary

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Background Information

Please select all of the following that apply.

Are you authorized to work in the U.S. on an unrestricted basis?*

Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment).*

If yes above, please explain.

Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?*

Can you perform these essential functions of the job with or without reasonable accommodation?*

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Qualifications & Skills

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges,degrees, vocational or technical programs, and military training.

List all of your applicable education or training using a new line for each item. Use the format provided.*

Describe any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.).*

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Finally, provide some references

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don't have three professional references, then list personal, unrelated references.

Name, Address, Phone Number, and Relationship (new line for each).*

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