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Contact Info

Availability

Weekly Availability * Required

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Daily Availability * Required

Morning Shift (roughly 8am-2pm)

Midday Shift (roughly 10am-4pm)

Closing Shift (roughly 1pm-7pm)

EDUCATION

If already graduated, which year?

If already graduated, which year?

Do you participate in any extracurriculars? * Required

Yes

No

Previous Employment

Please list your two most recent employers, beginning with the MOST RECENT

May we contact this supervisor for a reference?

Yes

No

May we contact this supervisor for a reference?

Yes

No

References

Please list 2-3 additional references we may contact

Reference #1

Reference #2

Reference #3

Military Service

Disclaimer

I certify that my answes are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading infomation in my application or interview may result in my release.

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