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COLUMBIA, SC (877) 799-7860 CHARLOTTE, NC (980) 207-4271

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Careers

Careers

First Name*

Last Name*

Phone Number*

Email Address*

Address*

City*

States*

Zipcode*

Date of Birth*

ARE YOU UNDER 19 YEARS OLD?*

Yes

IF HIRED CAN YOU FURNISH PROOF OF AGE?

Yes

DO YOU HAVE A VALID MOTOR VEHICLE OPERATOR’S LICENSE?

Yes

HAS IT EVER BEEN REVOKED?

Yes

IF SO, EXPLAIN

DO YOU HAVE ANOTHER JOB OR “SIDELINE” BUSINESS? IF SO, STATE THE TYPE OF BUSINESS OR JOB AND HOURS YOU WORK AT YOUR OWN BUSINESS OR OTHER JOB

WHAT FAMILY OR OTHER RESPONSIBILITIES MIGHT AFFECT YOUR ATTENDANCE?

EMPLOYMENT DESIRED

POSITION*

WAGE DESIRED*

DATE YOU CAN START*

HOW WOULD YOU GET TO WORK?*

SHIFTS WILLING TO WORK*

INTERESTED IN*

Full-Time

Part-Time

WHAT DAYS & HOURS?*

ARE YOU WILLING TO WORK OVERTIME & SATURDAYS IF REQUIRED?*

Yes

NAME OF RELATIVES OR FRIENDS EMPLOYED HERE*

HAVE YOU EVER APPLIED TO OR BEEN EMPLOYED BY THIS COMPANY?*

Yes

BACKGROUND INFORMATION

HAVE YOU EVER BEEN CONVICTED OF A FELONY?*

Yes

EXPLAIN IN DETAIL

MAY WE CONTACT YOUR PRESENT EMPLOYER?

Yes

IF NOW EMPLOYED, WHY DO YOU DESIRE TO CHANGE?

HAVE YOU EVER BEEN DISCHARGED OR FORCED TO RESIGN FROM ANY JOB? IF SO, PLEASE EXPLAIN

HAVE YOU DRAWN UNEMPLOYMENT INSURANCE IN THE PAST YEAR?

Yes

DATE AND AMOUNT OF LAST BENEFIT CHECK

FORMER EMPLOYERS List below the last three employers, starting with the last one first.

COMPANY NAME*

POSITION*

DATE STARTED*

DATE ENDED*

COMPANY ADDRESS*

EMPLOYER’S NAME*

EMPLOYER PHONE NUMBER*

WAGERS – PER HOUR*

WAGES – AVERAGE PER WEEK*

REASON FOR LEAVING

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REFERENCES Give the name, address and occupation of three persons (not former employers or relatives).

REFERENCE NAME*

ADDRESS*

OCCUPATION*

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It is understood and agreed that any misrepresentation by me in this application will be cause for cancellation of this application and/or separation from my job if I have been employed. I UNDERSTAND THAT JUST AS I AM FREE TO RESIGN AT ANY TIME, THE EMPLOYER RESERVES THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE. I understand that no representation of the Employer has the authority to make any assurances to the contrary. I give the Employer the right to investigate all references and to secure additional information about my, if job related. I release from liability the Employer and its representation for seeking such information, and all persons corporations and organizations for furnishing such information. This application is current for 60 days; after that if I have not heard from the Employer and still want to be considered for emplyment, it will be necessary for me to fill out a new application.