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H Cox & Son Job Application
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1.
Please enter your full name:
(Required.)
2.
Enter your home address:
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3.
Enter your phone number:
(Required.)
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4.
Enter your email address:
(Required.)
5.
If hired, what date are you available to begin work?
Date
Date
January
February
March
April
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June
July
August
September
October
November
December
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Su
Sunday
Mo
Monday
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Tuesday
We
Wednesday
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Thursday
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Saturday
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6.
What position are you applying for?
7.
What is your availability to work?
Full Time
Part Time
Second Shift (10AM - orders are finished, varies based on season)
8.
What is your desired salary range?
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9.
Have you ever submitted an application to H Cox before?
(Required.)
Yes
No
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10.
Are you a citizen of the United States? If not, are you authorized to work in the United States?
(Required.)
Yes, I am a citizen of the US.
No, I am not a citizen of the US, but I am authorized to work in the US.
No, I am not a citizen of the US, and I am not authorized to work in the US.
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11.
Have you ever been convicted of a felony? If yes, please provide detail.
(Required.)
12.
Please attach your resume if it is available.
Choose File
No file chosen
13.
If you do not have a resume available, please include information on your education (high school, college, etc name and if you graduated) below.
14.
If you do not have a resume available, include information on your prior work experience (company name, job title, approximate dates of employment, reason for leaving, salary) below.
15.
CDL position only - Under your prior employment, were you subject to the Federal Motor Carrier Safety Regulations?
Yes
No
16.
CDL position only - Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?
Yes
No
17.
CDL positions only - Have you had a positive drug test or refused a drug test in the past 3 years?
Yes
No
18.
Describe any other qualifications or specialized training that may apply to this position.
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19.
Do you certify that your answers are true and complete to the best of your knowledge? Do you understand that if this application leads to employment, false or misleading information in your application or interview may result in your termination?
(Required.)
Yes
No