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Last name
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First name
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Middle name
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Street address
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City
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State
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Zip code
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Email address
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Phone number
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I am interested in:
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Full-Time (30-40 hours per week)
Part-Time (0-29 hours per week)
Minimum hourly wage desired:
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Date available for work
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Please indicate days you are available for work
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please indicate the hours you are available for work between 9am and 9pm
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Format: Monday: 9-5, Tuesday: 12-3, etc.
Are you authorized to work in the United States?
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Yes
No
Are you at least 18 years of age or older?
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Yes
No
Employment Experience: Employer 1
Starting position
Starting hourly wage
Address
Most recent position
Most recent hourly wage
Phone number
Supervisor's name
Supervisor's title
Duties
Reason for leaving
Employment starting date
Employment end date
May we contact this employer?
Yes
No
Employment Experience: Employer 2
Starting position
Starting hourly wage
Address
Most recent position
Most recent hourly wage
Phone number
Supervisor's name
Supervisor's title
Duties
Reason for leaving
Employment starting date
Employment end date
May we contact this employer?
Yes
No
Employment Experience: Employer 3
Starting position
Starting hourly wage
Address
Most recent position
Most recent hourly wage
Phone number
Supervisor's name
Supervisor's title
Duties
Reason for leaving
Employment starting date
Employment end date
May we contact this employer?
Yes
No
Reference 1
Email address
Phone number
Job title
Length and nature of business relationship
Reference 2
Email address
Phone number
Job title
Length and nature of business relationship
Education: High school name and city
Number of years completed
Certification received
Type of courses/major
College name and city
Number of years completed
Certification received
Type of courses/major
Other education or training name and city
Number of years completed
Certification received
Type of courses/major
Have you ever been dismissed or forced to resign from any employment?
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Yes
No
If yes, please explain
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination. I understand that my employment may be terminated for just or unjust cause at any time by the company or myself at any time.
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I understand and agree to the above terms.
My Store
About Us
Careers
News
Shop
Laptops/Computers
Cell Phones
Tablets
Sell/Trade
Sell
Trade In, Trade Up
Repair
Computer Repair
iPhone Repair
iPad / Tablet Repair
Game Console Repair
Service Rates
Appointments
Tech Care Packages
Business & Education
Education Solutions
Business Solutions
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