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Employment
APPLICATION FOR EMPLOYMENT
OUR POLICY IS TO PROVIDE EQUAL EMPLOYMENT OPPORTUNITY TO ALL QUALIFIED PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGIOUS BELIEF, GENDER, AGE, NATIONAL ORIGIN, ANCESTRY, PHYSICAL OR MENTAL DISABILITY, OR VETERAN STATUS.
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Indicates required field
Full Name:
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Street Address:
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City & State:
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Zip Code:
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Primary Phone Number:
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Secondary Phone Number:
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Email:
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If hired, Can you provide evidence of legal eligibility to work in the U.S.?
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Yes
No
Do you have transportation?
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Yes
No
Are you 18 years of age or older?
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Yes
No
If under 18 years of age, you will be required to submit a birth certificate or work certificate as requested by state or federal law.
WORK Availability
Monday:
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Tuesday:
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Wednesday:
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Thursday:
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Friday:
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Saturday:
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Sunday:
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Date you can begin work?
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Currently employed?
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Do you have any special requests or needs for a work schedule?
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Education
Name of High School:
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City/State:
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Years of schooling?
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Graduated or GED?
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Name of college or technical school:
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City/State:
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Years of schooling?
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Major:
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References
1. Name and Occupation:
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How do you know them, and for how long?
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Phone Number:
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2. Name and Occupation:
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How do you know them, and for how long?
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Phone Number:
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3. Name and Occupation:
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How do you know them, and for how long?
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Phone Number:
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Your Employment History
1. Name of Employer:
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Address:
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Supervisor name:
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Phone Number:
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Job title:
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Duties:
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Start date of Employment:
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End date of Employment:
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Hourly starting pay:
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Hourly ending pay:
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Reason or comments for leaving:
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2. Name of Employer:
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Address:
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Supervisor name:
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Phone Number:
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Job title:
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Duties:
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Start date of Employment:
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End date of Employment:
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Hourly starting pay:
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Hourly ending pay:
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Reason or comments for leaving:
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3. Name of Employer:
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Address:
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Supervisor name:
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Phone Number:
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Job title:
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Duties:
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Start date of Employment:
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End date of Employment:
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Hourly starting pay:
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Hourly ending pay:
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Reason or comments for leaving:
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Upload Resume:
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Max file size: 20MB
CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM
I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, credit history check, and drug test, as applicable. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.
I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I have read, understand, and agree to the above statements.
Print Name As Signature:
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Date:
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Submit
Home
Shop
ProClub Wear
Location
Maui Mall
Updates
Contact Us
Employment