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All fields marked with an * are required to be filled in.

YesNo

YesNo

Full timePart timeSummer Only

Availability: List approximate times available next to each day.(ex. Monday: 3 pm to 10 pm)

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

List below last three employers: (in most recent order):

Employer 1

Employer 2

Employer 3

YesNo

Education (High School):

Education (College):

Education (Trade, Business School):

This application of employment is not intended to be a contract of employment.