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1595 W Amador Ave, Las Cruces, NM 88005
527-4699
Employment
Personal Information
First Name
Last Name
Street Address
Apartment/Unit #
City
State
Zip
Email Address
Phone Number
Date Available
Desired Wage
Position Applied For
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Are you a citizen of the United States?
Yes
No
If so, when?
Have you ever been convicted of a felony?
Yes
No
If yes, explain.
Education
High School
City
Did you graduate?
Yes
No
Dates?
Degree?
College
City
Did you graduate?
Yes
No
Dates?
Degree?
How would your friends describe you?
Why should we hire you?
Describe your work ethic?
If you had to turn down a request from a valued guest, what would you do?
What important goals have you achieved in the past year?
Employment History
Previous Employer 1
Company Name
Company Contact Information
Supervisor's Name
Supervisor's Contact Information
Position
Rate of Pay
From
To
Previous Employer 2
Company Name
Company Contact Information
Supervisor's Name
Supervisor's Contact Information
Position
Rate of Pay
From
To
Previous Employer 3
Company Name
Company Contact Information
Supervisor's Name
Supervisor's Contact Information
Position
Rate of Pay
From
To
Availability
Please check the days you are NOT Available (A.M. shifts start at 10am; P.M. Shifts start at 4pm)
Monday AM
Tuesday AM
Wednesday AM
Thursday AM
Friday AM
Saturday AM
Sunday AM
Monday PM
Tuesday PM
Wednesday PM
Thursday PM
Friday PM
Saturday PM
Sunday PM
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