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 can speak english fluently:
I am a U.S. Citizen or am authorized to work in th U.S. on an unrestricted basis:
Have you ever been convicted of a felony? (This does not automatically exclude you from employment )
Do you have reliable transportation?
Do you have a Driver's License?
Do you have a vehicle?

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

Education History
High School Name
High School City, State
Graduation Year
Are you a College Student ?
Focus of Study
Anticiptaed Graduation Year
Skill Set
Can you lift 20-40 LBS?
Are you enthused to work with seniors?
Do you have a "Roll up your Sleeve's" kind of attitude?
Are you experienced with Microsoft Software?
Employment History
Most Recent Employer
Most Recent Employer Company Name
Title of Position
Duration of Employment :

Rows 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.
Should be Empty:

Rows	Date Started	Date Ended
Dates worked for

Employment Application