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* 1. Address

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* 2. What days of the week are you available to work?

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* 3. Are you looking for full or part - time employment?

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* 4. What strengths do you bring to our teams?

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* 5. Do you have any physical restrictions we should know about? ie: pet allergies/unable to lift more than 20 lbs.. Please explain.

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* 6. Are you...

  Yes No
authorized to work in the US?
a legal US citizen?
able to provide your own transportation?

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* 7. Are you able to provide upon request...

  Yes No
a resume?
three references?
past three jobs held?

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