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Job Application

Please complete the form to apply for a position with us.

Part A: Personal Information

State
Date of Birth (DOB)
Month
Day
Year
When are you available to start work?
Month
Day
Year
Are you a citizen of the United States?
Yes
No
Do you have a work permit or a right to work visa?
Yes
No
N/A, I am a United States citizen
If no, are you eligible to work in the United States?
Yes
No
Have you ever been convicted of a misdemeanor or felony?
Yes
No
Do you have a Driver's License?
Yes
No
Please indicate the state of issue
Can you lift a weight of seventy pounds?
Yes
No
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