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FA Questions
First_Name
Inital
Last_Name
Dat of Birth
Phone
Good Time to Call
Yrs_Exp
No Experience
Less Than A Year
1 Year
2-4 Yrs
5+ Years
Time Availiable to Work
Anytime
8:00am-5:00pm
9am-5:00 pm
Address
City
Zip
Former Address
Do You Have a Criminal Record
No
Yes
Are You Able to Lift_25lbs
No
Yes
Currently Employed
No
Yes
Employer
Supervisor's Name
Is it Ok to Call Your Supervisor
No
Yes
Current Employer's Phone
Former Employer
Former Employer's Phone
Former Boss' Name
Is it OKto Call Former Boss
No
Yes
Personal Reference Name 1
Personal Reference 1_phone
Reference relation to You
Friend
Boss
Coworker
Family Member
Personal Reference 2
Reference 2_phone
Reference 2_relation to you
Friend
Boss
Coworker
Family Member
Personal Reference 3
Reference 3_phone
Reference 3_relation to you
Friend
Boss
Coworker
Family Member
Do You have Transportation_& Cell phone
I Have a reliable Car and Cell Phone
I Don't have a car but I have a Cell
No Car and No Cell
Your Email