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Application for Employment
Middle Name :
Last Name :
Your Current Address :
Position you are applying for:
Are you under 18 years old?
Yes, I am under 18 years old.
No, I am older than 18 years old.
You are seeking:
2-10 Hours per week
11-20 Hours per week
21-30 Hours per week
31+ Hours per week
Do you have automobile insurance?
Are you a U.S. citizen?
Have you been convicted of a crime?
If yes, please explain:
High School graduate or GED
College Graduate (2+ year degree)
Are you currently employed?
May we contact your current employer?
Not currently employed
Current/Last Employer's Name:
Phone Number :
New Field :
How long have/did you work there?:
Please list at least 2 personal references:
I authorize the perspective employer to use the information that I've supplied to consider my application for employment.
Thank you for your application.
We will get back to you as soon.
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PO Box 217 Freeland, MI 48623
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