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Application Form
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Employment Position Desired
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Line Cook
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Date You Can Start?
References
Employment Position: Employment Position: How did you hear about this position? What days are you available for work? What hours or shift are you available for work? If needed, are you available to work overtime? On what date can you start working if you are hired? Do you have reliable transportation to and from work? Salary desired:
Have you ever applied to work for The Rocking Chair?
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No
Do you have any friends or family working at The Rocking Chair?
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No
Are You 18 Years or older?
Yes
No
Are you a U.S. citizen or approved to work in the United States?
Yes
No
Will you consent to a mandatory controlled substance test?
Yes
No
Previous Employment- Employer Name, Job Title, Employer Address, Phone number and reason for leaving?
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(417) 589-6191
rchair@excelsdigroup.com
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rchair@excelsdigroup.com
105 Martingale Dr, Conway, MO 65632
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