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Cover Letter (Type in or copy/paste from an existing document)
* Do you possess a valid driver's license, automobile, and auto insurance? YesNo
* Are you able to pass a background check? YesNo
* Are you able to pass a drug test? YesNo
* Are you able and willing to work at least 12 hours per week? YesNo
Are you legally eligible to work in the U.S.? YesNo
* Are you at least 18 years old? YesNo
* Have you ever worked for this company before? YesNo
* Are you able to perform the essential functions of the job with or without accommodation? YesNo
When would you be available to begin work?
Are you currently employed? YesNo
Did you Graduate? YesNo
From To May we contact? YesNo
The facts set forth in this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements shall be considered sufficient cause for dismissal.
* Signature (Type Name)
* Date
Completion of this form is voluntary and will not affect your employment opportunity.
Gender: FemaleMaleI Choose Not to Respond
Race/Ethnicity: American Indian or Alaska NativeBlack or African AmericanHispanic or LatinoAsianWhiteNative Hawaiian or Other Pacific IslanderTwo or More RacesI Choose Not to Respond
Vietnam Era VeteranDisabled VeteranWar/Campaign/Expedition VeteranArmed Forces Service Medal VeteranRecently Separated VeteranI Choose Not to Respond
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