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First Name:
*
Last Name:
*
Email Address:
Phone:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Are you 16 or older?:
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Yes
No
Worked at CJs before?:
*
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Yes
No
If yes, dates and locations:
Position(s) applying for:
*
Total hours available per week:
*
Legally employable in the U.S.?:
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Yes
No
Transportation to work?:
*
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Yes
No
School most recently attended?:
*
Additional comments:
