Employment Application

5 mins. to complete on average.

Instructions:

The employment application is a 2 Step process. You must complete both steps to apply for employment.

Step 1 is a questionnaire which will open in new tab and must be completed on a vendor's website. The questionnaire will ask approximately 10 basic questions and provide a confirmation code upon completion. You must return to this employment application and provide the confirmation code for the input.

Step 2 is a standard employment application. Both steps must be completed to submit an employment application.

Step 1: Work Opportunity Questionnaire

You must complete a short questionnaire. It will open in a new tab on your browser. You will be asked up to 10(approx) basic questions such as "What is your social security number" OR "Are you currently employed?" OR "Are you a veteran?" Upon completion, you will be provided a code. Please copy the code and provide it as the input for the below field "WOTC Confirmation Code"

WOTC Confirmation Code:

Get Code

Step 2: Personal Information

First Name:

Last Name:

Address 1:

Address 2:

City:

ZipCode:

State:

SSN:

Date Of Birth:

Open the calendar popup.

Must be at least 18 yrs of age.

Do you have a State Guard Card?

Yes

Guard Card Number (If Applies):

Date Expires:

Open the calendar popup.

Do you have a FireArm Certification/Permit?

Yes

FireArm Certification/Permit Number (If Applies):

Date Expires:

Open the calendar popup.

Do you have a Valid Driver License?

Yes

Date Expires:

Open the calendar popup.

Do you have a Valid First Aid Certification?

Yes

Have you ever served in the Armed Forces?

Yes

Availability:

Part-Time

Full-Time

Shifts Available:

Morning (7am-3pm)

Swing (3pm-11pm)

Graveyard(11pm-7am)

Preferred Hourly Rate: $/hr

Optional: Attach Resume(pdf):

Phone:

Email:

Preferred Location:

Verify you are a person. Type the text you see to the left.

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