Employment

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Employment Application

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Name: *

Address: *

Phone number: *

Date available to start: *

Any health problems that would prevent standing during your shift? *

Can you multi-task? *

Do you have a valid drivers license? *

Have you ever been convicted of a crime of dishonesty? *

If hired, how often do you expect to miss work? *

Are you currently employed? If so, may we contact your employer? Where, and to whom do we speak? *

Work history. Please list previous employers' names, addresses, salary, and reasons for leaving. *

References. Please list 3 personal or professional references, their relationship to you, and a contact number. *

Captcha (spam protection code) *

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