R Mart
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Are you willing to submit a concent form allowing us to randomly drug test you?
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Explain in full detail why you believe you should not be responsible for this portion of our job requirements.
Are you, or have you ever been a convicted felon?
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Explain in full detail the conditions of your case:
Have you ever stolen from your employer before?
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Are you, or have you ever been a convicted child molester?
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Do you have any allergies, medical deficiencies, diseases, etc?
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Please list all that applies to your condition:
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What position are you applying for?
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Please Select
PRN Truck & Stock Associate
Customer Service
2nd Shift Manager
Desired pay:
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Have you ever had experience in the desired position you are applying for?
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Please list the employer, job title and your duties:
Available start date:
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What days of the week are you able to work?
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What shift are you able to work?
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First Shift (8:00 AM to 4:00 PM)
Second Shift (4:00 PM to 6-7:00 PM)
What is your current employment status?
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Employed
Unemployed
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Reference 2
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Reference 3
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