Are you available full-time?
—Please choose an option—YesNo

Number of hours desired per week?
—Please choose an option—4040 plus overtime

Days and hours available for work:

Expected wages per hour or annual salary expected:

Have you ever been convicted of a crime (other than minor traffic violations)? If yes, explain.
—Please choose an option—YesNo

Do you know of any restrictions, personal or otherwise, which would restrict the hours you can work?
—Please choose an option—YesNo

Are you currently employed?
—Please choose an option—YesNo

Were you a member of the U.S. Military?
—Please choose an option—YesNo

A background check and drug test are required. Are you able to successfully pass both?
—Please choose an option—YesNo

Do you have a pick-up truck or van for work use?
—Please choose an option—YesNo

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