Are you a citizen of the United States

YESNO

If no, are you authorized to work in the U.S.?

YESNO

Have you ever worked for this company

YESNO

Have you ever been convicted of a felony?

YESNO

Did you graduate

YESNO

Did you graduate

YESNO

Did you graduate

YESNO

May we contact your previous supervisor for a reference

YESNO

What shifts are you available to work? Please check the corresponding boxes.

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I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application interview may result in my release.