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Application
First name
Last name
Salary Desired (hourly)
Email
Phone
Address
Days available for work:
Mon
Tue
Wed
Thu
Fri
Sat
Positions Applying For
*
Required
Light Industrial
Professional
Other
Preferred Shift
*
Required
First
Second
Third
Type of Employment Desired
*
Required
Full Time
Part Time
Temporary
Have you been convicted of a crime in the last 7 years? If so, please explain:
Are you at least 18 years of age?
Yes
No
Employment History (Please include employer name, position held, dates of employment)
Educational Background: Please provide school name and date of completion
Skills & Experience (please select all that apply)
Assembly
Machine Operator
Shipping/Receiving
Custodial/Housekeeping
Skills & Experience (please select all that apply)
Inspecting
Forklift
Order Pulling
Welding
Skills & Experience (please select all that apply)
Clerical/Administrative
Inventory Control
Hand Tools
Landscaping
Skills & Experience (please select all that apply)
Maintenance
Production
Automotive Mechanic
Customer Service
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