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Dick & Jane's Application
Application for Employment
Welcome to the first step in joining the Dick & Jane's team.
OK
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1.
What is your first Name?
(Required.)
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2.
What is your last Name?
(Required.)
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3.
What is a telephone number you can be reached at?
(Required.)
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4.
What is your email address?
(Required.)
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5.
What is your street address?
(Required.)
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6.
In what city do you live?
(Required.)
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7.
What is your Zip Code?
(Required.)
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8.
Are you over 17 years old?
(Required.)
Yes
No
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9.
Which store do you prefer to work in?
(Required.)
Sturgis
Rapid City
Either
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10.
Why do you want to work at Dick & Jane's?
(Required.)
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11.
Are there any days that you can NOT work?
(Required.)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I can work every day!
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12.
Are there any hours during the day you can NOT work?
(Required.)
Between 8AM and 12PM
Between 12PM and 4PM
Between 4PM and 8PM
Between 8PM and 11PM
I can work any available shift.
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13.
Please tell us about your work history.
(Required.)
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14.
Tell us a little about yourself and why this is the right environment for you.
(Required.)
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15.
Is there any areas you feel you have opportunity for improvement? If so, please share.
(Required.)
*
16.
Do you understand that our store deals with items related to sexually specific topics and intimacy?
(Required.)
Yes
No
Current Progress,
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