Application Form
All applicants must be 16 years or older, or have worker’s permit if younger.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
example@example.com
Earliest start date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Locations Interested in
*
Lynnhaven
Ghent
Haygood
Approximate amount of hours per week
*
Please Select
5-15
15-25
25-40
What is your availability throughout the week?
*
What would be your work scheduling preference?
List any other commitments that may interfere with scheduling below.
Please upload your resume. Other accolades are also welcomed.
*
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