Job application form
Please fill out the information requested in this form accurately as possible.
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First and Last Name *
Preferred Name
Email *
Phone number *
Address 1 *
City *
Zip Code *
State *
What days and times are you available? *
9:00am - 2:00pm
2:00pm - 7:00pm
Not available
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Employment History
Please describe your employment history from the most recent to the oldest.
Employer 1 *
Contact information of previous employer 1 (address and phone umber) *
What was your role here? *
Brief description of your work *
Start Date *
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End Date (add today's date if you are still employed here) *
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Reason for Leaving (If you are currently still employed here) and Reason you left (if no longer employed by this employer)
Can we contact this employer to verify your work experience?
Employer 2 (Optional)
Contact information of previous employer 2 (address and phone umber)
What was your role here?
Brief description of your work
Start Date
/
/
End Date
/
/
Can we contact this employer to verify your work experience?
Professional References (please provide 2 professional references with their names and phone numbers)
First and Last name (Reference 1) *
Phone Number (Reference 1) *
First and Last name (Reference 2)
Phone Number (Reference 2)
What are your social media handles? (Include your Facebook, Instagram and TikTok handles) *
Do you have reliable transportation and are you able to commute to Columbia, MD? *
What is your preferred hourly rate? *
Are you willing to submit to a background check? *
Are you available to agree to a 12 months working contract (12 months of working with us) *
Are you looking for a full time or part time role?  *
Ethnicity
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What is your gender?
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I have read and understood that the contents of this form are not an express offer of employment nor do they signify any form of employment guarantee. I attest that all the information that I entered herein are true and accurate and that I can be help liable if there are any falsifications detected. The company is released from all liability and reserves the right to terminate my employment if it is found that I falsified or entered any incorrect or inaccurate information in this application that served as a ground for my employment. *
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