Personal Questions
|
Question 1*
|
Yes
No
|
|
|
Are you willing to work holidays, variable,
rotating shifts, nights and weekends?
If no please explain
|
Question 2*
|
Yes
No
|
|
|
Are you under 18 years of age?
If yes, give birth date
*
|
Question 3*
|
Yes
No
|
|
|
Only United States citizens or aliens who are
legally entitled to work in the United States are eligible for
employment. Can you, upon employment, submit documentation verifying
your identity and your legal right to work in the United States?
|
Question 4*
|
Yes
No
|
|
|
Have you ever been convicted of or pled guilty, no
contest, or received deferred adjudication or probation for any
criminal offense, other than for a minor traffic violation?
If yes, give date(s) and details
*
|
Question 5*
|
Yes
No
|
|
|
Have you ever been discharged or disciplined by an
employer for theft, harassment, retaliation, discrimination, disruptive
behavior, or using or possessing a weapon on company premises?
If yes, please explain
|
Question 6*
|
Yes
No
|
|
|
Have you ever been discharged or disciplined by an
employer for using or possessing illegal drugs and/or illegal
substances, or for any other inappropriate conduct?
|
Question 7*
|
Yes
No
|
|
|
Do you currently have any relatives working for us?
|
Question 8*
|
Yes
No
|
|
|
Have you ever worked for us before?
If yes, when, where and name of manager:
*
|
Question 9
|
|
|
|
Tell us why you would like to work for us.
|
Work Amount Desired
|
Full Time
Part Time
Temporary / Seasonal
|
|
|
|
|