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Employment Application


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Please enter a valid phone number. (For example: 123-456-7890)
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Please fill in your desired position.
What is your desired wage?
How many hours a week would you like to work?

When are you available to start?

Please select a month.
Please select a valid date.
Please select a year.
Please indicate if you are authorized to work in the US.
Please indicate if you have worked for Felicia Suzanne before.
Why do you want to work here?
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Please select the month that your ABC Card expires.
Please enter a valid date
Please enter your abc card expiration year.

Please fill in your educational background.

Please indicate whether or not you are currently employed.
Please fill in your current employer.
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Please enter your Current Employer Contact Info
When did you start your current job?
Please select the month you started your current job.
Please enter the year you started your current job.
Please enter the reason you are leaving your current job.

Please check Prior Experience
Please fill in your previous employer.
Who was your supervisor at your previous job?
Please enter your Previous Employer Contact Info
When did you start your previous job?
Please select the month you started your previous job.
Please enter the year you started your previous job.
When did you leave your previous job?
Please select the month you left your previous job.
Please enter the year you started your previous job.
Please enter the reason you left your previous job.

Please indicate that all of the information is true and correct to your knowledge.
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