Job application form
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Name *
First and last name
Address (Street/City/State/Zip) *
Phone number *
Email *
Are you legally allowed to work in the U.S. *
Are you 18 years or older? *
Have you ever been convicted of a felony or misdemeanor which has not been expunged from your record other minor traffic violations? *
If "YES", where and for what offense(s) were you convicted?
A conviction will not necessarily be a bar to employment. Factors such as date, nature, number of offenses, age at the time of offense and rehabilitation as well as job duties will be considered.
Have you EVER been fired, discharged, or asked to resign from a job or left a job without giving two weeks notice? *
If "YES", identify the former employer(s) by name, address and telephone number. Explain the circumstances and provide date(s)
Describe yourself in 5 words:
What are your top 3 weaknesses?
How much money do you need to make per week?
Why do you want to work here?
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