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Position Desired
Hourly Wage Desired
Date Available
MM slash DD slash YYYY
Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone*
Email*
Enter Email Confirm Email
Are you over the age of 18?*
- Yes
- No
Are you a U.S. Citizen*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
If selected for employment, are you willing to submit a pre-employment drug screening test?*
- Yes
- No
Education
HIgh School Name
School Address
Street Address Address Line 2 City State ZIP Code
Last Year Attended
Graduated?
- Yes
- No
Still Attending?
- Yes
- No
Previous or Current Employment
Employer
Work Phone
Pay Rate
Work Address
Street Address Address Line 2 City State ZIP Code
Position
Duties Performed
Still Employed?
- Yes
- No
Reason for leaving
May we contact them?
- Yes
- No
References
Full Name
First Last
Years Known
Relationship
Phone
Full Name
First Last
Years Known
Relationship
Phone
Acknowledgement and Authorization
Untitled*
- I certify that all answers given herein are true and complete to the best of my knowledge
Untitled*
- I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision
In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge*
- In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge
Name
This field is for validation purposes and should be left unchanged.

Applications will be reviewed by the hiring manager and kept on file.
Applicants will be called for interviews as needed.

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1.864.489.1515

or TEXT 864.800.6050

LOCATED OFF I-85 AT EXIT 90 AT THE GAFFNEY MARKETPLACE OUTLET MALL

1100 FACTORY SHOPS BLVD GAFFNEY SC, 29341

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