Employment Opportunities:
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Delivery Driver
Food Prep / Cook
Phones / Cashier
Type of Employment:
Full Time
Part Time
Temporary
Seasonal
Name:
Hours of Availability
Address
Driver License Number
(if applicable)
City, State, Zip
Salary Requirements
Phone
Email
If under 18, do you have a work permit?
Yes
No
Are you a U.S. Citizen?
Yes
No
If you are not a U.S. Citizen, are you legally allowed to work in the U.S.?
No
Yes
Have ever pleaded guilty or no contest or been convicted of a crime?
(Answering yes to these questions does not constitute an automatic rejection for employment. Date of offence, seriousness, and nature of the violation will be considered.)
Yes
No
If yes, please provide details:
Please summarize your skills for this position:
Work History
(Please provide your last two positions held)
Employer 1
Dates of Employment:
From:
To:
Company Name:
Responsibilities:
Position Held:
Address:
City, State & Zip
Phone
Supervisor
Reason for Leaving
Salary Information
Starting:
Ending:
May we contact this employer for reference?
Yes
No
Employer 2
Dates of Employment:
From:
To:
Company Name:
Responsibilities:
Position Held:
Address:
City, State & Zip
Phone
Supervisor
Reason for Leaving
Salary Information
Starting:
Ending:
May we contact this employer for reference?
Yes
No
