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What type of employment are you applying for?

Full Time Part Time Delivery

I am applying for

Do you have previous experience in a similar role?

Yes No

How did you hear about the job?

Your Name

Phone

Street Address

Address City

Address Zip

Do you have reliable transportation?

Yes No

Are you 18 or older?

Yes No

When are you available to work?

Start Date

Education

Employment History

What specific skills qualify you for this position?

Why do you want to work with us?

Are you a U.S. Citizen or do you have a legal right & documentation to work in the U.S?

Yes No

Have you ever been terminated from a company?

Yes No

If yes, please explain why you were terminated.

Have you ever been convicted of a crime other than a minor traffic violation?

Yes No

If yes, please explain why you were terminated.

Have you ever been convicted of a felony?

Yes No

If yes, please explain why you were terminated.

I understand that...

With my authorization, an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history, subject to applicable federal, state and/or local laws.

I understand that...

In the event of employment, false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand that I am required to abide by all rules and regulations of this organization.

I understand that...

If employed, the employment will be 'at will.' That is, either I or this organization may end employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by this organization does not imply employment and that this application and/or other documents are not contracts of employment.

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