Are you 18 years old or older? Yes No
If no, can you provide a work permit if necessary? Yes No

Did you complete High School? Yes No

Did you complete College? Yes No
If yes, in what field?

Do you have special licensing or certifications? Yes No
If yes, in what field?

Can you travel, if required? Yes No

Have you been convicted of a felony within the last 7 years? Yes No
(A yes or no answer to the above question does not necessarily
disqualify applicant from employment.)

Have you worked for this company before? Yes No

Are you willing to undergo a drug screen? Yes No

Can you work weekends, evenings, or shifts? Yes No

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