APPLICANT INFORMATION
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| Date: |
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| Name: |
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| Address Line 1: |
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| Address Line 2: |
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| Phone: |
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| Cell Phone: |
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| Email: |
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| Social Security Number: |
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| Date Available: |
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| Previous Salary: |
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| Desired Salary: |
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| How Did You Hear About Us? |
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| Full or Part-time? |
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| Please Specify Days and Hours of Availability:
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| EMPLOYMENT INFORMATION |
| Are You Legally Eligible For Employment in the US?
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| Please Describe All Restaurant or Coffee Industry Experience:
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Please List Last 3 Employers Including Contact Number and Names of Supervisors:
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| Have You Ever Been Convicted Of A Felony? If Yes, Please Explain:
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| If you are Currently Employed, May We Contact Your Employer?
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| EDUCATIONAL BACKGROUND |
| Last Grade of School Completed:
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| Are You Currently in School? |
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OTHER INFORMATION
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| Comments: |
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I certify that my answers are true and complete. I understand that any misrepresentation or omission of any facts by me can be sufficient cause for cancellation of this application and release of my employment. The Cereal Boxx, LLC is an equal opportunity employer and does not discriminate in employment.
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