Full Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Primary Phone #
Secondary Phone #
Email Address
example@example.com
Permanent Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorized to work in the U.S.?
*
yes
no
Age over 18?
*
yes
no
Select Store Location Of Interest
*
Ann Arbor
Athens
Bloomington
Cincinnati
Columbus
Dallas
East Lansing
Indianapolis
Iowa City
Louisville
Madison
Royal Oak
San Marcos
St. Louis
State College
Tucson
Pitaya Corporate
Employment History
Dates • Employment • Position • Location • Supervisor Phone#
Education History
Name • City & State • Major • Status
Availability
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How many hours are you interested in working?
How soon can you start working?
Will you be here for:
Spring break?
Summer break?
Winter break?
Position desired; check all that apply:
Sales
Management
Seasonal
1. Describe your retail experience.
2. Why do you want to work for Pitaya?
3. What expectations do you have of your coworkers?
4. What do you think the experience at Pitaya will be like?
5. What are your long term goals?
6. Describe your most positive work experience.
7. Describe your most negative work experience.
8. Where do you see yourself five years from now?
9. What three qualities do you possess that will make you successful at this job?
10. Of what accomplishment are you most proud?
11. Describe a typical day for you.
12. Are there any other jobs you would rather have?
13. Do you plan to leave town often on weekends?
14. List your top four priorities in order of significance.
15. Are there any other reasons you would like to work here besides the money?
I certify that all of the information given within is true and accurate to the best of my knowledge.
*
Submit
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