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First ShiftSecond ShiftThird Shift
Are you authorized to work in the US?* YesNo
Have you ever worked for this company?* YesNo
Have you ever been convicted of a felony? YesNo
Did you graduate? YesNo
Please list three professional references.
Previous Employment 1
May we contact your previous supervisor for a reference? YesNo
Previous Employment 2
Previous Employment 3
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.