Name *

First Name

Last Name

Date *

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DD

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Phone *

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Home Address *

Address 1

Address 2

City

State/Province

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Right now we have a requirement that every employee, company wide, has to be willing to work one “weekend” per month. This could mean a full weekend at once, or two Saturdays or two Sundays— even one Saturday one week and a Sunday a different week. The reason for this is because weekends are so difficult to find people willing to work and we have to make sure we are being fair company wide. This doesn’t mean that we will necessarily even schedule you those dates, but it is a requirement that you are willing and able to do be scheduled.

This works for me

Weekends are absolutely not an option for me at this time

Are you available *

Check all that apply

ALL

5:30am-10am

7am-1pm

10am-4pm

12pm-8pm

4pm-8pm

Are you available *

Check all that apply

ALL

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do you have reliable transportation to get to work? *

Yes

No

We use an app for our schedule and work communication. Do you have a phone/computer/tablet that you could use to access this app?

Yes

No

Please provide information for your most recent two employers.

This is my first job