Libby's Clean & Shine (704) 791-3809
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PERSONAL INFORMATION
Name ( First, Middle Initial, Last )
*
Date of Application
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April 2024
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Address
City
State
Invalid value
Zip Code
Invalid value
Cell Phone
Invalid value
Home Phone
Invalid value
E-Mail
You must have a valued E-mail.
*
Date availiable to start
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April 2024
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Employment desired
Full Time
Part Time
Position applied for
Date of Birth
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April 2024
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Cancel
Are you a citizen of the United States ?
Yes
No
If no, are you authorized to work in th US ?
Yes
No
Have you ever worked for this company before ?
Yes
No
If so, when ?
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April 2024
Sun
Mon
Tue
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14
31
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Today
Clear
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Feb
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OK
Cancel
Have you ever applied to this company before ?
Yes
No
If so, when ?
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April 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
14
31
1
2
3
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15
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Today
Clear
Jan
Feb
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OK
Cancel
Are you employed ?
Yes
No
If no, explain
How long at present address ?
Do you have a valid Drivers License ?
Yes
No
Hourly wage expected
Invalid value
Have you ever been convicted of any law violation ( other than a minor traffic violation ) ? A Yes answer does not automatically disqualify you from employment since the nature, date, and job you are applying for will be considered.
(Pick One )
Yes
No
If yes Explain
Next
Cancel