Employment Form

Job Application

Name

Phone Number

Are you legally permitted to work in the United States? Yes No

Are you 18 years of age or older? Yes No

Are you able to consistently work 3 shifts per week or more? Yes No

Are you able to work nights and weekends? Yes No

Please list the last educational institution you attended. Are you able to provide customer service while the customer is watching you? How would you rate your ability to work with technology and adapt to new software or equipment? Please list 2 references and their phone numbers.

Please list any other information you would like us to know about you. Send

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