Application Form - Getting to know you better

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See what it is like to work here at Revive2 minute video
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Full Name* This field is required.
First Name
Last Name
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Phone Number* This field is required.Your Cell number
Area Code
Phone Number
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Email Address* This field is required.
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Are you 18 or older?* This field is required.
Yes
No
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Current Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
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Algeria
American Samoa
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Cook Islands
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Finland
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French Polynesia
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The Gambia
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Indonesia
Iran
Iraq
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Israel
Italy
Jamaica
Japan
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Jordan
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Kenya
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North Korea
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Laos
Latvia
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Lesotho
Liberia
Libya
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Luxembourg
Macau
Macedonia
Madagascar
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
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Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
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Turks and Caicos Islands
Tuvalu
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Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Do you have your own reliable transportation* This field is required.If you rely on Uber, Lyft, or public transportation, please answer NO. It will not count you out, but we do not consider those your own form of transportation.
Yes
No
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Do you have a valid drivers license?* This field is required.
Yes
No
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Are you available to work M-F 7am-5pm?* This field is required.
Yes
No
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How did you hear about this job opening?* This field is required.
Facebook
Indeed
Referral
Other
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Date you would be available start:* This field is required.
Date
Month
Day
Year
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What are some things you do in your spare time?* This field is required.
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Are you a Morning Person, or Night Owl?* This field is required.
Sunrises are great and make me feel ready to slay the day!
Stars and moonlight is when I am the most productive and happy.
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What attracted you to this job?* This field is required.
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What is your biggest achievement you are proud of?* This field is required.
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Tell us a Dream of yours that you want to accomplish in your lifetime.* This field is required.
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Assume you managed or owned a business: How many times in one month (30 days) would you allow an employee to call off on the morning of a scheduled work day?* This field is required.
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Please briefly explain your answer to the last question:* This field is required.
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Cookies or Brownies (If you had to choose one)* This field is required.
Cookies
Brownies
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Describe your day yesterday. (What did you do yesterday from when you woke up to when you went to sleep)* This field is required.
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How do you keep a smile on your face during a hard day?* This field is required.
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Are you currently working or employed?Are you currently working somewhere? Don't worry, we will not contact them without talking to you first.
Yes
No
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Company Name* This field is required.Current or previous
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When did you START working there MM/YY* This field is required.Month and year you started
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When did you STOP working there MM/YY* This field is required.Month and year you left. If you are currently working, put "still working"
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What was your compensation? (Hourly pay/ Salary/ Benefits)* This field is required.
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Type(s) of work preformed:* This field is required.
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What did you enjoy MOST at this job/ company?* This field is required.
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What did you enjoy LEAST at this job/ company?* This field is required.
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Why did you (or are looking to) leave this job?* This field is required.
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Do you have a skill or talent you’d love to use at work but haven’t had the chance?* This field is required.If so, please explain. If not, just put "NO"
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Large
Normal
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Ok
Ok
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"I understand that if any of the above information is fabricated, untrue or incorrect I will not be considered for employment. In the event I am hired and this information is found to be fabricated, untrue or incorrect my employment will be terminated."
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Signature* This field is required.Please sign here
Clear
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Thank you so much for taking the time to complete this application. Somone from our team reviews each application carefully. If you stood out from the crowd, we will text the number you provided to invite you in for an in person interview.

Have an awesome day!
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