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Address
Type of Employment Your Inquiring
Preferred Work Shift
Are there any days, shifts or hours you will not work?

*Note:  It is not necessary for you to identify unavailability for work because of religious observance or practice or any other protected classification. Subsequent to any job offer, we will consider whether a reasonable accommodation can be made.

Will you work overtime, if required?
How did you find out about this position?
Were you referred to the company by employee?
Have you ever applied for or worked at our Company before?
Have you ever been convicted of a felony?
Are you legally authorized to work in the United States?
Will you now or in future require sponsorship for employment visa? (ex: H1-B)
*Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Employment Eligibility Verification “Form I-9” be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work.  This federal requirement must be satisfied as a condition of employment.
Have you ever been discharged or asked to resign from employment?
Did you receive any discipline in your last 12 months with your previous employer?
Have you signed any non-competition or non-solicitation agreement or any other kind of agreement with any other employer that might restrict you from working for the Company? Note: Certain positions may be required to furnish a copy of the agreement if you are being considered for hire
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