Job application form

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Email *

Name *

First and last name

Phone number *

ADDRESS *

Are you over 16 of age? (Proof age or work permit may required if hired) *

Are you legally able to work in the United State? (Proof identity and legal authority to work in the U.S is a condition of employment) *

Have you ever been convicted of a felony which has not been annulled or sealed by a court? *

WORK SCHEDULE AVAILBILITY *

10AM - 3PM

3PM - 9PM

NOT ABAILABLE(add comment below)

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

ADDIONAL COMMENT FOR SCHEDULING IF YOU NEED

EMERGENCY CONTACT (NAME / PHONE # / RELATIVE) *

WORK EXPERIENCE

PLEASE WRITE ANY COMMENT IF YOU HAVE

(WRITE YOUR NAME & DATE ) I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at anemployment decision. This application for employment shall be considered active for a period of time not to exceed 60 days.Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications arebeing accepted at that time. I understand that before any offer of employment is made, I must provide the company withconfirmation eligibility to work in the United State.I certify that the information on this form is, to the best of my knowledge, true and complete. Any false statement may besufficient cause for rejection or, if employed, dismissal. *

Send me a copy of my responses.

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