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Personal Information
First Name*
Last Name*
Middle Initial
Referred by
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Have you ever been convicted of a crime?*
- Yes
- No
Employment Desired
Position*
Salary*
Date you can start
Availability
Total Available Hours per Week*
How far do you live from the Galley Hatch?*
Do you have reliable transportation?*
- Yes
- No
Are you legally able to work in the U.S?*
- Yes
- No
What type of employment are you seeking?*
- Full time
- Part time
- Seasonal
- Temporary
Hours Available
- Friday*
- Saturday
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
School Most Recently Attended
School Name
City
State
Area of study
Did you graduate?
- Yes
- No
Are you currently enrolled?
- Yes
- No
List skills relevant to the position applied for?
Employment History
Employer 1 Name
Start Date
End Date
Location
City State / Province / Region Country
Phone
Job Title
List of Major Duties
Reason for Leaving
May we contact this employer?
- Yes
- No
Employer 2 Name
Start Date
End Date
Location
City State / Province / Region Country
Phone
Job Title
List of Major Duties
Reason for Leaving
May we contact this employer?
- Yes
- No
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Personal Information