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Employment Application
Name/Full Name
*
Application Date/Fecha de Aplicación
*
E-mail
*
Phone number/ Telephone number:
Address
*
Fecha de nacimiento
*
Month
Month
Day
Year
Date of birth
Last Grade of school
#H.H.
Referred By/ Referred by
Available days that I can work, in the morning and afternoon.
Monday at Sunday:AM or PM / Monday at Sunday: AM or PM.
Do you speak English?/ You speak English?:
forks
No
Are you 18+?
forks
No
Convicted to a felony?/ Condemned for misdemeanors or crimes?
forks
No
If yes, please explain/ If you said yes, please explain:
Are you disabled?/Do you have any disability?:
forks
No
When can you start?
*
Desired Wage/Salary:
Position you would like to apply for:
Choose one
Do you have any experience in a supermarket or other?
Are you currently employed?
forks
No
Are you legally authorized to work in the US?
forks
No
Last job reference
Name of past employer/ Name of the company where I previously worked:
Month & Year / Month and Year :
Address of last employer/ Address of the company where I previously worked:
Name of Supervisor:
Phone number/ Telephone number:
I certify that the information provided on this application is complete and correct. I consent to the contact of former employers.
*
forks
No
Signature
SEND/SEND
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