Name:
Email address:
Phone Number:
If under 18, what is your age?
If under 18, are you in good standing in school (low absenteeism, grades > 3.0)?
Do you certify that you are a US citizen, permanent resident or a foreign national with authorization to work in the United States?
Were you referred by any of our current or past employees? If so, who?
Date available to begin
How many hours a week can you work?
Are there any restrictions on the days/times you can work?
Please select all the shift times you would be available to work
Please describe any past positions that are relevant (include company, position and why you left).
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