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Submitted by admin on Mon, 03/23/2015 - 05:30

EMPLOYMENT APPLICATION

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First Name *

First Name

Last Name *

Middle Name

Phone *

Street Address *

City *

State *

Zip *

Recent Name Change?

Former First Name

Former Last Name

Personal Information

Are you 16 years of age or older?: *

Yes

No

Were you previously employed by Lauer's Supermarket & Bakery?: *

Yes

No

If So, When?

If So, What Location?:

Are you currently employed? *

Yes

No

Are you either a US citizen or an alien with unrestricted authorization to work in the United States? *

Yes

No

Have you ever been convicted of or charged with a felony or misdemeanor? *

Yes

No

Work Amount Desired *

Location Desired *

At which location do you want to work in?

Position Desired

Wage Desired $ /hr

Date Available to Start *

Sunday Availability

Monday Availability

Tuesday Availability

Wednesday Availability

Thursday Availability

Friday Availability

Saturday Availability

Personal Questions

Availability

Positions Desired

Personal InformationEducationEmployment HistoryReferences/SkillsMisc/Submit

Leave this field blank

Connect With Us:

Name *

Email *

Short message *

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