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Job Application
Position
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Cashier
Cook
Food Prep
Bartender - Hesperia Only must be over 21
Which location would you like to work at?
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Select All
Victorville - On Hesperia Rd
Apple Valley - On Apple Valley Rd
Hesperia - On Main Street
Date
MM slash DD slash YYYY
Phone
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Email
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Last Name
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First Name
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Middle Name
Address
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Street Address
Address Line 2
City
ZIP / Postal Code
About You
Are you 18 Years of age or older?
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Yes
No
No, but I have a work permit
If offered employment can you provide proof of U.S. Citizenship
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Yes
No
No,can you provide proof of Permanent Resident Alien status or to the legal right to work in the U.S.?
What Foreign Languages do you speak fluently?
What Date could you start?
MM slash DD slash YYYY
Are you employed now?
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Yes
No
If Yes, may we contact your present employer?
Present Employers Contact Info
Do you have a current food handlers card?
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Yes
No
Do you have reliable transportation?
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Car
Public
Family Member
No
Work Experience
Date Employed (Most Recent Position)
Month / Year to Month / Year
Name and Address of Employer:
Supervisor’s Name Title and Phone #
Name and Address
Month / Year to Month / Year
Title
Reason for Leaving
Second Job
Date Employed
Month / Year to Month / Year
Name and Address of Employer:
Supervisor’s Name Title and Phone #
Name and Address
Month / Year to Month / Year
Title
Reason for Leaving
Third Job
Date Employed
Month / Year to Month / Year
Name and Address of Employer:
Supervisor’s Name Title and Phone #
Name and Address
Month / Year to Month / Year
Title
Reason for Leaving
Job Skills
Tell us a little about your job skills
Education
High School
College
Other Schools Vocational
HS - Name of School / City / Date / Graduated
C - Name of School / City / Date / Graduated
VS - Name of School / City / Date / Graduated
References
Name of Reference
Relationship
Select One
Spouse
Mother
Father
Brother
Sister
Aunt
Uncle
Friend
Phone
Name of Reference
Relationship
Select One
Spouse
Mother
Father
Brother
Sister
Aunt
Uncle
Friend
Phone
Name of Reference
Relationship
Select One
Spouse
Mother
Father
Brother
Sister
Aunt
Uncle
Friend
Phone
Please tell us what days and times you would be available
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Release
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I certify that all information provided to the company by me on this application is true, complete, and correct to the best of my knowledge. I understand that I might be asked to show proof of my Social Security Number and complete a background check.
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