Employment Application

First Name*
Last Name*
Email*
Phone*
City where you live*
What type of employment are you looking for?*
What is the highest level of education you have completed?*
Do you speak any other languages?*
What is your current job or what was the last job that you had?*
What is your other prior work experience? Please list dates*
How did you hear about us?*
Tell us about yourself*
This job requires the ability to lift 50 lbs on a nearly constant basis throughout the day. Workdays can be over 12 hours. Are you physically able to do this work?*
- Yes
- No
Do you have experience working directly with customers?*
- Yes
- No
If yes please describe the job and your duties as well as any personal thoughts on your qualifications or how you like to service customers
References
Please list three references in the space below with phone numbers:
Reference 1: Name, Phone Number, Title, Relationship to applicant
Reference 2: Name, Phone Number, Title, Relationship to applicant
Reference 3: Name, Phone Number, Title, Relationship to applicant
Have you been convicted of a felony in the past 7 years?*
- Yes
- No
If yes please describe
Do you have a valid drivers license at this time?*
- Yes
- No
Have you had your drivers license suspended?*
- Yes
- No
If yes please explain
Do you consent to a nationwide background check?*
- Yes
- No
Do you consent to a drug test prior to or during employment?*
- Yes
- No
Are you a US citizen or do you have a proper visa that allows you to work in the United States*
- Yes
- No
I certify that all information I have provided is accurate to the best of my knowledge. I understand and accept that any false statements made on this application are grounds for immediate termination if hired.*
- I accept.
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Employment Application

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