Nayaz Variety Employment Application

Employment Application
Full Legal Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check one

I am looking for Full time workI am Looking for Part time work
I can speak english fluently:

YesNo
I am a U.S. Citizen or am authorized to work in th U.S. on an unrestricted basis:

YesNo
Have you ever been convicted of a felony? (This does not automatically exclude you from employment )

YesNo
Do you have reliable transportation?

YesNo
Do you have a Driver's License?

YesNo
Do you have a vehicle?

YesNo

State All the Hours you are Available to work in the chart below.

	Monday	Tuesday	Wednesday	Thursday	Friday
From:
To:

Education History
High School Name
High School City, State
Graduation Year
Are you a College Student ?

YesNo
Focus of Study
Anticiptaed Graduation Year
Skill Set
Can you lift 20-40 LBS?

YesNo
Are you enthused to work with seniors?

YesNo
Do you have a "Roll up your Sleeve's" kind of attitude?

YesNo
Are you experienced with Microsoft Software?

YesNo
Employment History
Most Recent Employer
Most Recent Employer Company Name
Title of Position
Duration of Employment :

Date Started Date Ended

Dates worked for
Most Recent Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Salary
Type of work perfomed
Reason for Leaving
Please review the Pre-Employment Agreement sheet. Before Hiring you will be asked to sign.
Title of Position you are applying for.
( You may insert more than one from the above list )
At this point in the application you are free to tell us what makes you the perfect candidate for Nayaz Variety, if you desire.
Hobbies, interest? (not required )
Feel Free to upload your Resume

Upload a File

Cancelof
Thank you for taking time to complete this job application. We will be in contact with you shortly. We look forward to you potentially becoming part of the Nayaz Variety Family.
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Employment Application