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First name
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Last name
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Email
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Phone
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Multi-line address
Country/Region
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Address
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City
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Zip / Postal code
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How did you hear about us?
Friends
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What store would you like to work at?
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Gladstone Location
Independence Location
North Oak Location
Tell us about yourself...
Hours Desired
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Full-Time
Part-Time
Seasonal
Hourly Pay Desired
Check All That You Are Willing To Work
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Days
Evenings
Graveyard
Weekends
Date You Can Start
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Are you either a U.S. citizen or authorized to work in the U.S. on an unrestricted basis?
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Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment)
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If you have been convicted of a felony, please explain. If not, type "N/A"
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Do you have a High School Diploma or GED?
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Please list any education or training you feel relates to the position you're applying for (schools, colleges, degrees, vocational programs, military training, etc.) Please provide names, dates, degree/certificate earned and the address for each.
Please list any special skills or experience that you feel would help you in the position you're applying for.
Reference #1 - Please provide name, position/title and contact number.
*
Reference #2 - Please provide name, position/title and contact number.
Reference #3 - Please provide name, position/title and contact number.
Work History #1 - Please provide the job title, start date, end date, company name, supervisor's name, phone number, city, state, zip, duties, reason for leaving, starting and ending salary and your manager's name.
*
May we contact Employer #1?
*
Work History #2 - Please provide the job title, start date, end date, company name, supervisor's name, phone number, city, state, zip, duties, reason for leaving, starting and ending salary.
May we contact Employer #2?
Work History #3 - Please provide the job title, start date, end date, company name, supervisor's name, phone number, city, state, zip, duties, reason for leaving, starting and ending salary.
May we contact Employer #3?
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