1.Full Name

2.Address (Street, City, State & ZIP)

3.Cell Phone

4.Email

5.Do you have a driver's license & reliable transportation?

6.Will you submit to a background/fingerprint check?

7.Do you check your cell phone on a regular basis for messages/texts? (This is important in case I need to contact you.)

8.Punctuality and dependability are a big part of this job. Do you agree to give advance notice if you are going to miss a shift, or be late?

9.Professional Reference (Full Name, Phone, Email)

10.Personal Reference (Full Name, Phone, Email)