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Thank you for your response. ✨

Name

Phone

Current Address

Position Desired:

Are You Over 18

Have you ever been employed here before?

Are you prevented from lawful employment in the U.S. because of visa or Immigration status?

Wage Desired:

Currently Employed

Are You In School?

Available Hours:

Describe any training pertaining to the position you are applying for:

Name Of School & Date Completed

Work Experience

Start Date (YYYY-MM-DD)

End Date (YYYY-MM-DD)

Company Telephone

Supervisor Name:

Permission to Contact?

Starting & Ending Wage

Related field experience or specialized training?

Equipment experience?

Reference – Personal & Business

Emergency Contacts – Please Include Address, Phone Number

Upload Current Resume:

Employment Verification I understand that I have a right to receive a copy of this authorization on request and that a photographic, scanned, faxed, or emailed copy of this authorization shall be as valid as the original. I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all statements in this application and give the Company permission to contact schools, previous employers, references and others and release the Company from any liability as a result of such contact. I understand that any false information, omission or misrepresentation of information requested or provided in connection with this application may remove me from further consideration for employment. I also understand that false information, omissions or misrepresentations at any time may be cause for termination of employment. If accepted for employment, the Company will make every effort to provide steady continuous work, although the Company has no employment contracts and cannot guarantee the permanence of any position. Job tenure can be affected by many factors (business, economic conditions, changes in laws or Company policies, conformity to work rules, job performance, etc.) in addition, employees may elect on their own accord to seek jobs in other fields or with other employers. I understand that my employment with the Company is for no specific term and may be terminated by me or the Company with or without notice or cause at any time. I further understand that no oral promise, Company policy, custom, business practice or other procedure (including Company handbook or personnel manuals) constitutes an employment contract or modification of the at will employment relationship between me and the Company.

Print Name & Date

Signature

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