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Email *
Full Legal Name *
Full Address (include city, state, zip code) *
Best Contact Number *
Emergency Contact and Number *
Social Security Number *
Date of Birth *
MM
/
DD
/
YYYY
Drivers License Number *
Are you legally able to work in the US? *
Have you ever been convicted of a crime? *
Do you have your own transportation? *
Do you have Cashier/POS experience? *
What experience (if any) do you have with dealing with children &/or the public? *
SCHEDULE:  Please put a check in the box on days/times you will be available for work
10am-4pm
4pm-10pm
10am-2pm (Thursday only)
Friday Oct 1st
Saturday Oct 2nd
Thursday Oct 7th
Friday Oct 8th
Saturday Oct 9th
Thursday Oct 14th
Friday Oct 15th
Saturday Oct 16th
Thursday Oct 21st
Friday Oct 22nd
Saturday Oct 23rd
Thursday Oct 28th
Friday Oct 29th
Saturday Oct 30
Payroll:   Other than yourself,  is there anyone else authorized to pick up your paycheck?  If so, please list their name, phone number, & relationship to you. *
Do you allow Conner’s A-Maize-Ing Acres to use any &/or all video, photos, or name in any promotional advertisements, newspaper, social media, ect.   *
Which positions are you most interested in? *
Required
List 3 references with Name and Phone Number *
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