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Employment Application Form
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* Indicates required question
Name:
*
Your answer
Address:
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Referred by:
Your answer
Do you have reliable transportation?
Yes
No
Clear selection
Have you been convicted of a crime?
*
Yes
No
If yes to answer above, please provide details:
Your answer
Available Start Date:
*
MM
/
DD
/
YYYY
Desired Salary
Your answer
Which position(s) are you interested in?
*
Full Time
Part Time
Required
Weekday Availability: Store hours are 10:00 am - 7:00 pm
*
Day-Time Hours only (10-2 or 10-4)
Evening Hours only (2-7 or 4-7
All Hours
Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Day-Time Hours only (10-2 or 10-4)
Evening Hours only (2-7 or 4-7
All Hours
Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Weekend Availability: Store hours are stated below. Please note that weekend availability is required for this position.
*
All Hours
Not Available
Saturday (9:30am - 6:00 pm)
Sunday (11:30am - 5:00 pm)
All Hours
Not Available
Saturday (9:30am - 6:00 pm)
Sunday (11:30am - 5:00 pm)
Please summarize your skills and qualification as they pertain to this position.
*
Your answer
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