Full Name:*

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    Date Available to Start:*

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    How did you hear of this opening?*

    Availability (Days & Hours):*

    Are you able to work swing shifts and/or overnight shifts?*

    Swing ShiftsNight ShiftsBothNeither

    On average, how many weekly work hours would you like?*

    What type and year vehicle do you own?*

    Are you willing to assist with last minute calls and cover for fellow employees?*

    YesNo

    Have you ever been convicted of a felony?*

    YesNo

    If yes, please explain:

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