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Employment Application
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Name
*
First
Last
Email
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Phone
*
Address
*
Address Line 1
Address Line 2
City
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Tennessee
Texas
Utah
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Preferred Start Date
Date
Time
How did you find out about this position?
Current Employee
Career Fair
Newspaper Ad
Radio/TV Ad
Search Engine
Social Media
Other
If other
Are You 18 years of age?
Yes
No
Do you have a valid California Drivers License?
Yes
No
Are you available to work weekends and holidays?
Yes
No
Type of employment you are seeking
Full Time
Part Time
Do you have experience with the following
Sales
Customer Service
Cash Register
Manuel Transmission
Detailing
Working Outdoors
Retail
Mechanical Maintenance
What is your preferred number of hours to work per week?
10-15
16-20
21-25
26-30
31-35
36-40
What Relevant experience do you have that qualifies you for the job?
1. Employment History:
Company Name & Address
Phone Number
Duties:
Supervisors Name:
Dates Employed: Start/Finish
Reason for leaving
2. Employment History:
Company Name & Address
Phone Number
Duties:
Supervisors Name:
Dates Employed: Start/Finish
Reason for leaving
3. Employment History:
Company Name & Address
Phone Number
Duties:
Supervisors Name:
Dates Employed: Start/Finish
Reason for leaving
Can we contact your current employer?
Yes
No
Do you enjoy working outside?
Yes
No
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