Libby's Clean & Shine                                                                                                                       (704) 791-3809
       
 
This is part ( 1 of 4 ) pages
PERSONAL INFORMATION
Name ( First, Middle Initial, Last )
Date of Application
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Address
City
State
Zip Code
Cell Phone
Home Phone
E-Mail
Date availiable to start
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Employment desired
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Position applied for
Date of Birth
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Are you a citizen of the United States ?
v
If no, are you authorized to work in th US ?
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Have you ever worked for this company before ?
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If so, when ?
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Have you ever applied to this company before ?
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If so, when ?
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Are you employed ?
v
If no, explain
How long at present address ?
Do you have a valid Drivers License ?
v
Hourly wage expected
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 )
v
If yes Explain
   
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