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Juice Stop - Employment Application
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Name
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Your answer
Email Address
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Your answer
Phone Number
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Mailing Address
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Your answer
Referred by:
Your answer
High School (include name, dates attended, and current grade):
*
Your answer
College or Tech School (include name, dates attended, course of study, and current year):
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Work Experience (include employer name, dates worked, job duties, and reason for leaving):
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List 3 References (include name, location, relationship, and phone):
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List any other training, special skills, interests, hobbies or extra-curriculars:
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List any other information that may be helpful in determining your possible employment with Juice Stop:
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Are you at least 16 years old?
*
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Yes
No
Are you able to lift 40+ pounds?
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Yes
No
Have you been convicted of a crime in the past 7 years? Explain.
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Hourly wage desired?
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Hours per week desired?
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Days/times available?
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Position applying for:
*
Smoothie Associate
Management
Custodial
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