Weekly Availability- please indicate the hours you are available to work each day:
Starting with your most recent job, list present and past employment.
Company Name/Dates Employed (Start MM/YY End MM/YY) / Position Title/ Starting Salary/ Ending Salary/ Reason for leaving
What would Other Say About You?
Please provide information for 3 people whom we can contact for references.
Name, Address, Phone (include area code), Occupation
TELL US ABOUT A TIME THAT YOU PERSONALLY GAVE GREAT CUSTOMER SERVICE:
WHY DO YOU WANT TO WORK FOR US?
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An Equal Opportunity Employer
In compliance with the Civil Rights Act, the policy of this company prohibits discrimination in
employment because of race, color, religion, national origin, veteran status, sex, age or
Please verify your understanding of the following statements by placing your initials below.