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Employment Application Form
Date _______________________
Name ____________________________________________________________________ Present Address __________________________________________________________ Telephone _____________________ Social Security No. ____________________ If under 18, please list age ____ Position Applied For __________________ Desired Salary ________________________ Days/Hours Available to Work _______________________ NO PREF ______ THUR ______
FULL-TIME ONLY
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MON
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PART-TIME ONLY
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TUES
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SAT ______
FULL-OR PART-TIME _____
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How many hours can you work weekly? _________________ Can you work nights? ____________ Are you a U.S. Citizen? Yes ___ No ___ Have you ever been convicted of a crime? Yes ___ No ___ TYPE OF SCHOOL NAME OF SCHOOL LOCATION # of Years Completed (Complete mailing address) Major & Degree
High School College Bus. or Trade School Professional School