Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Monday Availability *

Select all that apply.

Not Available on Mondays.

Available all day on Mondays.

Opening Shift: 8:45AM - 4:00PM

Morning Shift: 10:40AM - 4:30PM

Closing Shift # 1: 1:00PM - 9:45PM

Closing Shift # 2: 4:00PM - 9:45PM

Tuesday Availability *

Select all that apply.

Not Available on Tuesdays.

Available all day on Tuesdays.

Opening Shift: 8:45AM - 4:00PM

Morning Shift: 10:40M - 4:30PM

Closing Shift # 1: 1:00PM - 9:45PM

Closing Shift # 2: 4:00PM - 9:45PM

Wednesday Availability *

Select all that apply.

Not Available on Wednesdays.

Available all day on Wednesdays.

Opening Shift: 8:45AM - 4:00PM

Morning Shift: 10:40AM - 4:30PM

Closing Shift # 1: 1:00PM - 9:45PM

Closing Shift # 2: 4:00PM - 9:45PM

Thursday Availability *

Select all that apply.

Not Available on Thursdays.

Available all day on Thursdays.

Opening Shift: 8:45AM - 4:00PM

Morning Shift: 10:40AM - 4:30PM

Closing Shift # 1: 1:00PM - 9:45PM

Closing Shift # 2: 4:00PM - 9:45PM

Friday Availability *

Select all that apply.

Not Available on Fridays.

Available all day on Fridays.

Opening Shift: 8:45AM - 4:00PM

Morning Shift: 10:40AM - 4:30PM

Mid-Shift: 12:00PM - 8:00PM

Closing Shift # 1: 1:00PM - 9:45PM

Closing Shift # 2: 4:00PM - 9:45PM

Closing Shift # 3: 2:00PM - 10:45PM

Saturday Availablity *

Select all that apply.

Not Available on Saturdays.

Available all day on Saturdays.

Opening Shift: 8:45AM - 4:00PM

Morning Shift: 10:00AM - 5:00PM

Mid-Shift: 12:00PM - 8:00PM

Closing Shift # 1: 1:00PM - 9:45PM

Closing Shift # 2: 4:00PM - 9:45PM

Closing Shift # 3: 2:00PM - 10:45PM

Sunday Availability *

Select all that apply.

Available all day on Sundays.

Not Available on Sundays.

Opening Shift: 8:45AM - 4:00PM

Morning Shift: 10:45AM - 4:00PM

Closing Shift # 1: 1:00PM - 9:45PM

Closing Shift # 2: 4:00PM - 9:45PM

Availability Description *

Select all that apply.

This is my normal availability. My availability will NOT change once school starts.

This is my current availability. My availability will change once school starts.

I am an out-of-state student. I will only be available when school is in session.

I am only looking for a summer job.

College *

Graduated

Currently Enrolled

N/A

High School *

Graduated

Currently Enrolled

N/A

Employment History *

I have no prior employment history. If hired, this will be my first job.

I am currently employed & looking for a NEW job.

I am currently employed & looking for a 2ND job.

Phone #

(###)

###

####

Dates of Employment

FROM:

MM

DD

YYYY

Dates of Employment

TO:

MM

DD

YYYY

Phone #

(###)

###

####

Dates of Employment

FROM:

MM

DD

YYYY

Dates of Employment

TO:

MM

DD

YYYY

Phone #

(###)

###

####

Dates of Employment

FROM:

MM

DD

YYYY

Dates of Employment

TO:

MM

DD

YYYY