Job Application
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What position are you applying for?
Full Name
Address
Phone number
Available Start Date
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DD
/
YYYY
If employed and under 18, can you furnish a work permit?
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Have you ever been employed by this company?
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Are you employed now?
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May we contact your present employer?
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If yes, give name
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
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Type of work desired
Do you have a valid drivers license in this state?
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Can you perform the essential functions of the job for which you are applying for?
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Are you available to work
Have you been convicted of a felony?
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If yes, please explain
Message from Nyes
This company is an equal employment opportunity employer. All applicants will be considered without regard to age, color, national origin, religion, disability, sex, or other protected status in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of a job.
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