CAREERS

First Name:      Last Name:

Address:     

Address 2 : 

City:           

State:          AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI

Zip: (5 or 9 digits)     

Country:                   

Home Telephone:  

Work Telephone :   

Email:                       

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Position Desired:    

Salary Expected:     

Number of Hours per
week you will accept:  30-Over   20-30   Under 20

Can you work Overtime?  yes no

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Have you ever plead guilty to
or been convicted of a crime,
other than a traffic offense?    yes no

If yes, please state offense,
date, court & disposition. :     

Are you legally eligible for
employment in the US?         yes no

Are you 18 years of age?       yes no

Friends or relatives
employed by us?                  yes no

Have you previously
worked for us?                     yes no

If yes, please give
dates & location. :               

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