LSA Job Applicant Screening Form
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Name
email address
Home Address
Phone number
Position
Job Experience 1-Organization
Job Experience 1-Dates
Job Experience 1-Position
Job Experience 2-Organization
Job Experience 2-Dates
Job Experience 2-Position
Date available to Start
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
What days are you available to work 5/23-6/22? Weekday hours are 4-8 pm / weekend hours are 11:00-8:00 pm
Do you have any schedule limitations or requests for 5/23-6/22?
How many hours per week are interested in working 5/23-6/22?
What days are you available to work 6/23-end of summer? Weekday hours are 11-8:30 pm / weekend hours are 11:00-8:30 pm
Do you have any schedule limitations or requests for 6/23-end of summer?
How many hours per week are interested in working 6/23-end of summer?
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