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Application Form
Date:
Position(s) applying for:
Expected rate of pay:
E-mail Address:
I. Personal Information
Name:
Address Line1:
Address Line2:
City:
State:
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Home phone:
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Fax:
List any friends or relatives who work with us:
Have you previously worked with our company
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If you worked When,Please give date:
Which Store Location are you interested in
Crabtree
Cary
Have you ever been convicted of crime
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If you are convicted When,Please explain
Do you have means of transport to and from work
Transport
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In case of emergency,Contact Adress
Are you 18 years or older?
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Are you a U.S. Citizen?
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If not, do you have the legal right to remain permanently in the U.S.?
Yes
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Would you work full-time or part-time?
Full-time
Part-time
Specify days and hours if part-time:
If your application is considered favorably, on what date will you be available for work?
II. Education BackGround
Degrees Obtained
III. Previous Employment
Employer 1
Can we contact this employer
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No
Employer 2
Can we contact this employer
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Employer 3
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No