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Polanco Manhattan Beach Job Application
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* Indicates required question
First Name
*
Your answer
Last Name
Your answer
Middle Name (If Applicable)
*
Your answer
Social Security Number
*
Your answer
Email
*
Your answer
Street Address
*
Your answer
Phone Number
*
Your answer
Are you entitled to work in the United States?
*
Yes
No
Are you 18 or older?
*
Yes
No
If yes, Date of Birth?
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MM
/
DD
/
YYYY
Have you ever been convicted of a felony or been incarcerated in connection with a felony in the past seven years?
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Yes
No
If yes, please explain:
*
Your answer
Military Service
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Yes
No
If yes, what military branch?
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Your answer
Are you a veteran?
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Yes
No
If yes, what war did you serve?
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Your answer
What position are you applying for?
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Your answer
How did you hear about this position?
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Your answer
Expected Hourly Rate?
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Your answer
Expected Weekly Earnings?
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Your answer
Date Available?
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MM
/
DD
/
YYYY
Available Schedule?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
AM or PM Shift
*
Your answer
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