Email
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Phone
*
(###)
###
####
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you lived at this address?
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Date of Birth
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MM
DD
YYYY
If you're under 18 years of age, do you have a Work Permit?
Which Sticky Rice location(s) are you applying to?
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Select at least one.
What position are you applying for?
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Preferred Schedule
*
What are your desired hours per week?
*
If there are any hours, shifts, or days you are not able to work, list them here:
Employer
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Name, Address, and Phone
Dates Employed
*
Job Title
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Job Summary
*
Describe the nature of work performed and job responsibilities
Immediate Supervisor
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First Name
Last Name
May we contact them for reference?
*
Reason for Leaving
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Employer
Name, Address, and Phone
Dates Employed
Job Title
Job Summary
Describe the nature of work performed and job responsibilities
Immediate Supervisor
First Name
Last Name
May we contact them for reference?
Reason for Leaving
Employer
Name, Address, and Phone
Dates Employed
Job Title
Job Summary
Describe the nature of work performed and job responsibilities
Immediate Supervisor
First Name
Last Name
May we contact them for reference?
Reason for Leaving
Please explain fully any gaps in your employment history:
Have you ever been terminated or asked to resign from any job? If yes, please explain:
Are there any potential limitations regarding your method of transportation to and from work?
Name any friends or individuals you know who are currently employed by Sticky Rice
If employed, can you show documentation proving the legal right to remain and work in the United States?
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Have you ever been convicted of a felony or misdemeanor?
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Do NOT answer "Yes" if: 1) the record for this conviction has been judicially ordered sealed, expunged, or statutorily eradicated; or 2) the conviction relates to an offense for which you were referred to, and participated in, any pre-trial or post-trial diversion program; or 3) the conviction relates to a misdemeanor for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed; or 4) the conviction relates to a marijuana-related misdemeanor that occurred more than two years ago; or 5) you are an applicant in the state of Utah and the conviction relates to a misdemeanor.
If "Yes," please complete this information:
Note: A "Yes" answer does not automatically disqualify an applicant from further consideration for employment. Please explain any "Yes" answer fully so that individual circumstances can be considered. Include the date, location (county and state), and nature of offense.
Describe any previous job duties or training relevant to the job you are applying for:
Did you graduate?
Did you graduate?
Degree and Major/Minor
Did you graduate?
Degree and Major/Minor
Did you graduate?
Degree and Major/Minor
List extra curricular activities, hobbies, academic awards, etc.
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