APPLICANT INFORMATION

Full address: (Required)

Phone Number (Required)

Your Email (Required)

Are you at least 18 years old?
NoYes

Are you legally eligible for employment in the US?NoYes
Proof of US citizenship or immigration status is required if hired.

If hired, do you have a reliable means of transportation?
NoYes

Describe mode of transportation:

Have you ever been convicted of a crime? NoYes

Are you a US Veteran?NoYes<

Please list any additional skills, certification or training.

EMPLOYMENT INFORMATION

Locations of Interest:
Arlington (TX)Belmar (CO)Covington (WA)Federal Way (WA)Highlands Ranch (CO)Hillsboro (OR)Kennewick (WA)Lacey (WA)Lake Tapps (WA)Lynnwood (WA)Mill Creek (WA)Puyallup (WA)Renton (WA)Salem (OR)Tacoma (WA)Vancouver (WA)Wood Village (OR)Wylie (TX)

Position(s) applying for:

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Full TimePart TimeTemporary

Availability:(Required)

What hours and shift(s) are you able to work?

Please list any times that you are NOT available to work:

Are you willing to work:OvertimeHolidaysWeekends

If hired, when will you be able to start?

Have you worked for this company before?NoYes

Do you have any friends or family employed by this company?

Have you ever been discharged or asked to resign from any position?NoYes

Are you able to perform all the tasks associated with position or without resonable accommodations?
NoYes

EMPLOYMENT HISTORY

MOST RECENT EMPLOYER

Company Name

Phone Number (with area code)

Full address

Date(s) of employment

Salary

Job title

Supervisor's name & title

Duties

Reason(s) for leaving:

May we contact the employer(s) listed above?
NoYes

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