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If you are under 18 years of age, can you provide required proof of your eligibility to work? YesNoNot Applicable
Are you currently employed? YesNo
May we contact your present employer? YesNo
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment YesNo
On what date would you be available for work?
Are you available to work: Full TimePart TimeShift WorkTemporary
Are you currently on "lay-off" status and subject to recall? YesNo
Can you travel if a job requires it? YesNo
Have you been convicted of a felony within the last 7 years? Conviction will not neccessarily disqualify an applicant from employment YesNo
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