Baja Fresh Job Application
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1
2Personal Information
Last Name
First Name
Birth Date
M.I.
SSN
Address
Email Address
City
ZIP
Phone
State
Are you able to perform the responsibilities of the position with reasonable accomodations?
No
Yes
Can you provide proof of eligibility to work in the United States?
No
Yes
If you are under age 18, do you have an employment/age certificate?
No
Yes
Have you been convicted of or pleaded no contest to a felony within the last five years?
No
Yes
If yes, please explain:
Availability
Please list the hours you are available to work
Morning
Midday
Afternoon
Evening
Monday
Are you available to work holidays?
Tuesday
No
Yes
Wednesday
Are you available to work nights?
Thursday
No
Yes
Friday
Type of work desired:
Saturday
Full-time
Part-time
Temporary
Seasonal
Sunday
If hired, on what date would you be available to begin work?
How many hours per week are you available to work?
Education
Name
Major/Minor
Graduation Date
High School
City and State
Number of Units
Honors/Recognitions
Name
Major/Minor
Graduation Date
College/
University
City and State
Number of Units
Honors/Recognitions
Name
Major/Minor
Graduation Date
Graduate
School
City and State
Number of Units
Honors/Recognitions
Name
Major/Minor
Graduation Date
Technical/
Trade
City and State
Number of Units
Honors/Recognitions
School
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Parent category: Business