Candy smoke shop , 904 W 39THST, Kansas City, MO, 64111
816-326-8122
Applicant Information
Last Name:
First:
M.I.:
Date Of Birth :
Street Address:
Apartment/Unit #:
City:
State:
Zip:
Phone:
E-mail:
Date Available:
Desired Salary:
Position Applied for:
Available hours?
10AM-11PM Business hour
Sunday: ………………………….
Monday: ………………………………
Thursday: …………………………….
Wednesday: …………………..…….
Tuesday: ………………………………
Friday: …………………………………
Saturday: ………………….………..
Are you legally eligible to work in the U.S.? Yes( ) No( )
Have you ever worked for this company?
Yes( ) No( )
Have you ever been convicted of a felony? Yes( ) No( )
Education
High School /
Address /
From ------------To------------
Did you graduate? Yes( ) No( )
- Employment History
[1]
Company/From ------------To------------
Address/
Phone #/
Supervisor/
Responsibilities/
May we contact? Yes( ) No( )
[2]
Company/From ------------To------------
Address/
Phone #/
Supervisor/
Responsibilities/
May we contact? Yes( ) No( )
[3]
Company/From ------------To------------
Address/
Phone #/
Supervisor/
Responsibilities/
May we contact? Yes( ) No( )
- References
[1]
Full Name /
Relationship /
Company /
Phone # /
Address /
[1]
Full Name /
Relationship /
Company /
Phone # /
Address /
Signature/
Date/
Job Types: Full-time, Part-time
Pay: $14.00 - $16.00 per hour
Shift:
- 10 hour shift
- 12 hour shift
- 4 hour shift
- 8 hour shift
Work Location: In person