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Application
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APPLICANT INFO
Name
*
First
Middle
Last
Date / Time
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Address
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Address Line 1
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State
Zip Code
Phone
*
Email
*
Date Available
*
Desired Salary
*
Position Applied For
*
Date of Birth
*
If hired, can you submit proof of legal right to work in the US?
*
Yes
No
If NO, Are you authorized to work in the U.S.
*
Yes
No
Do you have any relatives employed with our company?
*
Yes
No
If YES, list names and positions
*
If so, When?
*
Have you ever been convicted of a crime?
*
Yes
No
If yes, please list the date, place, charge and desposition
*
*You need not disclose a conviction a) that was judicially expunged or sealed b) for a marijuana-related offense over two years old; c) if you completed a pre- or post- trial diversion program; or d) for a misdemeanor for which probation was successfully completed (or discharged) and the case was judicially dismissed. A conviction will not necessarily be a bar to employment.
EDUCATION
Highest Grade Completed:
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1
2
3
4
5
6
7
8
9
10
11
12
College
*
1
2
3
4
5
6
7
Degree(s)/Licenses Held
*
Name of Last School Attended
*
Other Training or Trade School
*
Which Computer Programs and/or Point of Sale Systems Can You Operate?
*
Other Knowledge, Skills, and Abilities
References
Name
*
First
Last
Phone
*
Relationship
*
Name
*
First
Last
Phone
*
Relationship
*
Name
*
First
Last
Phone
*
Relationship
*
Referral Source
How did you hear about the position you are applying for:
*
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Other
If you were referred by an employee, please print their name here:
Location
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SMITHFIELD, RI
WEST WARWICK, RI
WATERTOWN, MA
Signature
Clear Signature
I CERTIFY THAT MY ANSWERS ARE TRUE AND COMPLETE TO THE BEST OFMY KNOWLEDGE. IF THIS APPLICATION LEADS TO EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION IN MY APPLICATION OR INTERVIEW MAY RESULT IN MY RELEASE.
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