33% of survey complete.

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1. Last Name: (Required.)

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2. First Name: (Required.)

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3. Address: (Required.)

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4. City, Sate, Zip: (Required.)

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5. Phone: (Required.)

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6. Email: (Required.)

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7. Operating hours will be Monday through Saturday 7am to 9pm and 8am to 8pm on Sunday. Please list your availability: (Required.)

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8. Are you interested in working: (Required.)

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9. Referred by: (Required.)

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10. Are you at least 18 years of age? (If not, an additional form is required by NC). (Required.)

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11. Are you a US citizen? (Required.)

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12. If not a US citizen, can you provide proof of your legal right to accept employment? (Required.)

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13. Date available for work: (Required.)

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14. Have you ever been convicted of a crime? If yes, give date and reason for conviction: (Required.)

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15. Are you currently employed? If yes, may we contact your current employer? (Required.)

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16. What is your desired pay range? (Required.)

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17. Are you currently a student or have plans of becoming a student in the next year? If yes, where and in what year of completion: (Required.)

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18. Education and Training: (Required.)

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19. Why do you want to work here? (Required.)

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20. What personal qualities, knowledge, or training do you possess that would make you the best choice for the position? (Required.)

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21. What position you are applying for? (Required.)

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22. I am most interested in working in: (Required.)

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23. I am also interested in working in: (Required.)

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