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Employment
Contact Information
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Requested Information
Birth Date
Are you a citizen?
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Yes
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Social Security Number
Start When
What position are you applying for?
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Cashier
Barista
What is your salary requirement (if any)?
Number of hours desired:
Are there any days you are not available?
Do you have your own transportation?
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Yes
No
Employment Experience (Start with your present job or last job. Include military assignments and other volunteer activities.):
1st Personal Reference:
2nd Personal Reference:
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