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JOB APPLICATION

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We're hiring

Date *//

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Are you at least 16 years old? *

Yes
No

What position are you apply for? *

Cashier
Short Order Cook
Prep Cook/Dishwasher

Employment Desired *

Full Time
Part Time

EDUCATION

High School *

Address

Address Line 1

City

State

Zip Code

Did you graduate? *

Yes
No

What year did you graduate or do you expect to graduate? *

College/Secondary School/Trade School

Address

Address Line 1

City

State

Zip Code

Did you graduate?

Yes
No

What year did you graduate or do you expect to graduate?

Desired Hourly Pay Range $ *

Is your desired rate of pay negotiable?

Yes
No

When can you start? *//

EMPLOYMENT HISTORY

List employment history starting with your present or most current job.

EMPLOYER 1

Address

Address Line 1

City

State

Zip Code

Phone

EMPLOYER 2

Address

Address Line 1

City

State

Zip Code

Phone

EMPLOYER 3

Address

Address Line 1

City

State

Zip Code

Phone

EMPLOYER 4

Address

Address Line 1

City

State

Zip Code

Phone

THANK YOU FOR YOUR INTEREST

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8451 HARPER AVENUE DETROIT, MI 48213
313-579-5616

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