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Position Applying For
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If so, when?
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Education

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Degree
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Other
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Degree
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References

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Employment History

Company
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Supervisor
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Job Title
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Starting Wage $
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Ending Wage $
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Responsibilities...
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Reason for leaving
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Company
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Supervisor
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Job Title
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Starting Wage $
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Ending Wage $
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Responsibilities...
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Reason for leaving
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Additional Information

Do you consider yourself a morning person or a late night person?
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Do you have reliable transportation means to and from work?
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Please describe yourself in (3) words
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How many hours and/or shifts are you looking for per week?
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What is your availability for employment (check all day parts that you will be available):

Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
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How did you learn about this position?

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Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I acknowledge I am accepting a seasonal part-time position within the company and will not be offered unemployment in the off-season. If this application leads to employment, I understand that false or misleading information in my application or interview (including availability recorded) may result in my release.
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