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Failure to answer all items/questions completely may result in delayed processing of your application

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Are you legally eligible for employment in the United States?
Yes
No
When will you be available to begin work?
Month
Day
Year
Desired Employment
Full-Time
Part-Time
Have you ever been convicted of a felony?
Yes
No
In order to permit a check of your work and educational records, should we be made aware of any changes of name or assumed name that you previously used?
Yes
No
Will you work overtime if asked?
Yes
No
Are there any hours, shifts or days that you will not work?
Yes
No
Do you have a good, safe, running vehicle?
Yes
No
Do you have a valid Tennessee driver's license?
Yes
No
Have you been licensed for at least three years?
Yes
No
Do you have any tickets or violations on your driving record within the past three years?
Yes
No
Do you have any friends or relatives that work here?
Yes
No
Have you ever applied for employment with us?
Yes
No
Have you ever been employed with us?
Yes
No
Have you ever been dismissed or forced to resign from any employment?
Yes
No

Emergency Contact

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