Full Name
Phone
*
Email
*
Full Address
*
Date of birth
*
Date Available
Desired Work Load
10-20 Hours
20-30 Hours
30-40 Hours
40+ Hours
Weekly Avaliability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What is the highest level of education you completed?
Still in High School
In College
Completed College
Desired Position (Cook, Barista, Etc)
Are you a US Citizen?
*
Yes
No
No, I'm not a U.S Citizen but I'm authorized to work in the U.S
Have you been convicted of a felony?
*
Yes
No
If Yes, please explain
Please list three personal references.
*
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