Full Name

Phone *

Email *

Position Applying For?

Describe one specific time you did a job right even though no one was checking and it would have been easy to cut a corner. What was the situation and what did you do?

Do you have an active driver's license?

Yes

No

Currently in process of becoming active

Do you have reliable transportation?

Yes. I have my own car

Yes. I have someone to drop me off on time

No

Anything on your background report?

Yes

No

Are you interested in full-time or part-time?

Full-time

Part-time

Whatever is needed

When can you start?

Immediately

1 Week

2 Weeks+

Years of Relevant Experience

Anything additional you would like us to know.

I understand that completing this pre-screen does not guarantee an interview or employment.

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