Application for Employment

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. WE DO NOT DISCRIMINATE ON THE BASIS OF RACE, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, PREGNANCY, RELIGION, COLOR, NATIONAL ORIGIN, CITIZENSHIP STATUS, DISABILITY, GENETIC INFORMATION, AGE, MARITAL STATUS, PAST, CURRENT OR FUTURE U.S. MILITARY SERVICE, OR ANY OTHER CLASSIFICATION PROTECTED BY FEDERAL, FLORIDA

Personal Information

Are you 18 years of age or older? *
Are you a citizen of the United States or a non-citizen who is authorized to work in the United States? *

Employment Desired

Availability *
SHIFT
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you seeking full or part time employment? *
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Is there any reason why you might not be able to work the above hours if hired and scheduled to work those hours? *

Education

Did you graduate? *
Did you graduate? *
Do you plan to return to school?

Other Personal History

Have you ever been terminated (involuntarily) from any previous employment? *
Are you currently under charges for any violation of law? *
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During the last 7 years, have you been convicted, imprisoned, on probation, or on parole? (Includes felonies, firearms or explosives violations, misdemeanors, and all other offenses). *
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I declare under penalty of perjury that the statements made by me on this form are true, complete, and correct. *
clear
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Employment History

(Start with most recent and work back. Please include any military service. List and explain any periods of unemployment.)

Employment History 1:

Employment History 2:

Employment History 3:

Resume


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