Gramps Job Application
Tell us a little about yourself below.
Full Name
First Name
Middle Name
Last Name
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Phone Number
-
Area Code
Phone Number
Available Start Date
/
Month
/
Day
Year
Date
What is your current employment status?
Employed
Unemployed
Self-employed
Student
Are you a citizen of the United States or do you have a legal right to work in the United States? (Any offer of employment is conditional upon you completing Form I-9 and providing documents establishing your identity and work authorization).
Yes
No
Are you 18 years of age or older? (If under 18 years of age, applicant will be required to provide a birth certificate or work certificate as required by Federal or State law)
Yes
No
Have you ever pleaded "guilty","no-contest", or been convicted of a crime?
Yes
No
If Yes, please explain.
Are you able to lift 50 pounds?
Yes
No
What are your desired hours per week?
(0-40 hours/week)
What is your availability on Monday?
Times of day
What is your availability on Tuesday?
Times of day
What is your availability on Wednesday?
Times of day
What is your availability on Thursday?
Times of day
What is your availability on Friday?
Times of day
What is your availability on Saturday?
Times of day
What is your availability on Sunday?
Times of day
If you could have any super power, what would it be and why?
What are some of your hobbies and interests?
Signature: By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.
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