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    General Information


    Have you worked for our company
    before?
    YesNo

    If yes, please answer the following questions.

    Have you ever applied to our company before?
    YesNo

    If yes, please answer the following questions.


    I am interested in:
    Full time - 30 to 40 hrs. per weekPart time - 0 to 30 hrs per weekSeasonal - Holidays / Summer

    Are You Over 18 years of age?
    YesNo

    (If you are less than 18 years old, you may be required to provide a work permit prior to working)

    Please indicate the hours you are available for work during both day and evening




    Work Experience
    List your previous experience, beginning with your current or most recent position.


    Date of employment




    Date of employment




    Date of employment


    References
    Individuals not related to you. Business references preferred.



    Education & Training
    Please provide Name, Street, City and Zip code for each school.



    Additional Employment History Enquiries


    Have you ever been dismissed or forced resign from
    any employment? :
    YesNo

    Have you ever been convicted of a felony crime or theft-related misdemeanor within last 7 years? :
    YesNo


    Permission to Work


    Are you legally authorized to work in United States?

    Will you now or in future require sponsorship for employment visa status (H1-B Status)?

    YesNo

    YesNo


    Referal Source


    Walk-inApplicantNewspaper AdEmployee Referral (Name)

    Community / Organization (Name)

    Community / Organization (Name)

    School / College (Name)

    Website (Name )

    Others (Please list)


    Additional Questions



    Please attach your resume here.



    Applicant's Authorization


    Please enter this code below *: captcha


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