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Ireland
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Israel
Italy
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Jersey
Jordan
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Kenya
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Korea People's Democratic Republic
Republic of Korea
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Land Islands
Lao People's Democratic Republic
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Mali
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Niue
Norfolk Island
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Norway
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Panama
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Paraguay
Peru
Philippines
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Portugal
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Romania
Russian Federation
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Saint Helena
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Saint Lucia
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Samoa
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Yes

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Have you ever completed an application for us before? *

Yes

Have you ever been employed with us before? *

Yes

If yes, provide date and reason for leaving. *

What is your availability to work? *

Full Time

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Temporary

Other

What is your preference? *

Full Time

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Are there any hours, shifts or days you cannot or will not work?

Yes, I there are some times I will be unavailable.

No, Im typically always available and open to work.

Please explain which hours, shifts or days you cannot or will not work. *

Can you drive a manual transmission? *

Yes

Are any relatives working here? *

Yes

Please provide name(s) and relationship to you. *

Do you know anyone who works here? *

Yes

Please provide name(s). *

Are you able to work overtime if required? *

Yes

Have you ever been convicted of a felony?

Yes

Explain date of conviction, location and offense convicted of. *

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Yes

Partially

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Number of years attended at High School *

Diploma/Degree from High School *

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Yes

Partially

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Number of years attended at College/University *

Diploma/Degree from College/University *

Course of study at College/University *

Did you have other Education/Training? *

Yes

Partially

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Number of years attended at other Education/Training *

Degree/Diploma/Certification from other Education/Training *

Course of study from other Education/Training *

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Are you currently employed? *

Yes

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Additional Information

Have you served in the U.S. Armed Forces? *

Yes

Please list dates of duty, rank, branch and skills acquired.

Thank you for your service!

Do you speak, read or write any foreign language(s)? *

Yes

Please elaborate on the foreign language(s) *

Please List Any Other Special Skills and Qualifications

Describe any special training and skills acquired from educational training, employment or personal experience you feel may be helpful to us in considering your application.

Please Add Any Additional Information You'd Like

List any additional information you feel may be helpful to us when considering your application.

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Reference 1 - Last Name *

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Reference 1 - Address Line 2

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Reference 2 - First Name *