APPLICATION FOR EMPLOYMENT

POSITION(S) APPLIED FOR A value is required.DATE OF APPLICATION (MM/DD/YY)

ADDRESS CITY STATE ZIP CODE

PHONE NUMBER A value is required. E-MAIL A value is required.Invalid format.

HAVE YOU BEEN EMPLOYED HERE BEFORE? YES NO

ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THIS COUNTRY? YES NO

DATE AVAILABLE FOR WORK?

TYPE OF EMPLOYEMENT DESIRED? FULL-TIME PART-TIME TEMPORARY SEASONAL EDUACATIONAL CO-OP

ARE YOU ABLE TO MEET THE ATTENDANCE REQUIREMENTS OF THE POSITION? YES NO

DO YOU HAVE A VALID DRIVERS LICENCE NUMBER? YES NO

EDUCATION & CERTIFICATIONS:

HIGHEST LEVEL OF EDUCATION YEAR

LIST CURRENT CERTIFICATIONS OR LICENSES BELOW

EMPLOYMENT HISTORY

EMPLOYER DATE FROM DATE TO

JOB TITLE & DUTIES:

REASON FOR LEAVING PLEASE DESCRIBE BELOW:

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EMPLOYER DATE FROM DATE TO

JOB TITLE & DUTIES:

REASON FOR LEAVING PLEASE DESCRIBE BELOW:

___________________________________________________________________________

EMPLOYER DATE FROM DATE TO

JOB TITLE & DUTIES:

REASON FOR LEAVING PLEASE DESCRIBE BELOW:

APPLICANT SHALL RECEIVE A PHONE CALL FROM COOL-BREEZE IF WE ARE INTERESTED IN FURTHER INTERVEIWING. YOU WILL THEN BE REQUIRED TO FILL OUT AN IN DEPTH APPLICATION FOR EMPLOYMENT WHICH INCLUDES QUESTIONS THAT FOR PRIVACY REASONS ARE NOT ASKED ON THIS ON-LINE APPLICATION.

APPLICATIONS ELECTRONIC SIGNATURE (PRINT FULL NAME) A value is required.

PLEASE PROVIDE INTIALS AGREEING TO ALL ITEMS ABOVE A value is required.