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Level B Application
Please fill out the questions to apply for a position at Level B.
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* Indicates required question
Applicant Name (First, Middle, Last)
*
Your answer
Applicant Address
*
Your answer
Applicant Phone Number
*
Your answer
Applicant Email
*
Your answer
Are you...
*
at least 16 years of age?
at least 18 years of age?
If hired, can you verify that you have the legal right to work in the United States?
*
Yes
No
What position(s) are you applying for?
*
Your answer
I am available to work the following shifts:
*
Day
Night
Weekdays
Weekends
Required
When are you available to start working?
*
MM
/
DD
/
YYYY
Are you able to perform the essential functions of the position you are applying for?
*
Yes
No
List your work history. Please list the last two positions you held.
*
Your answer
Please list 3 references and their contact information.
*
Your answer
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