Careers

Name

Phone

Email

Address

City

State

Zip

Date of Birth

High School

Current Grade

GPA

Sports/Activities

Graduation Date

College

Current Grade

GPA

Sports/Activities

Graduation Date

Degree

Do you have any previous work experience?

If yes, please list previous employers and dates worked (most recent first)

What school activities or community involvement are you most proud of?

Personal Reference Name

Phone Number

Relationship

Available Start Date

Do you have transportation to work?

Hours Available Monday

7:00 am - 10:30 am

3:00 pm - 6:00 pm

Hours Available Tuesday

7:00 am - 10:30 am

3:00 pm - 6:00 pm

Hours Available Wednesday

7:00 am - 10:30 am

3:00 pm - 6:00 pm

Hours Available Thursday

7:00 am - 10:30 am

3:00 pm - 6:00 pm

Hours Available Friday

7:00 am - 10:30 am

3:00 pm - 6:00 pm

Hours Available Saturday

7:00 am - 10:30 am

3:00 pm - 6:00 pm

Hours Available Sunday

7:00 am - 10:30 am

3:00 pm - 6:00 pm

How many hours would you like to work each week?

Holidays you are available to work

How were you referred to us?

I certify that all my answers are true and complete to the best of my knowledge. In the event that I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge. Signature and date:

CAREERS

Employment Application

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