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4722 N Lois Ave Tampa, FL 33614

•

Call (813) 296-6229

Bascarshop

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Contact Info

First Name

Middle Initial

Last Name

Email

Phone

Birthdate

Address

Address Line 2

City

State

Zip

Position

What position are you applying for?

What type of employment are you applying for?

Are you authorized to work in the U.S.?

Yes

No

Are you 18 or older?

Yes

No

Have you worked here before?

Yes

No

If yes, tell us about what you did and which department you worked for.

What hourly rate of pay are you looking for?

Minimum

Maximum

Have you ever had a felony?

Yes

No

If yes, please explain.

Have you ever served in the military?

Yes

No

If yes, what branch?

Experience

Employer 1 (Most Recent)

Employer

Phone

Job Title

Supervisor Name

Start Date

End Date

Reason for leaving

Employer 2

Employer

Phone

Job Title

Supervisor Name

Start Date

End Date

Reason for leaving

Employer 3

Employer

Phone

Job Title

Supervisor Name

Start Date

End Date

Reason for leaving

May we contact your previous employers?

Yes

No

Education

What is your highest education level?

School 1 (Most Recent)

School

Location

Start Date

End Date

Did you graduate?

Yes

No

Degree

School 2

School

Location

Start Date

End Date

Did you graduate?

Yes

No

Degree

School 3

School

Location

Start Date

End Date

Did you graduate?

Yes

No

Degree

Additional

List other relevant licenses, certifications, or registrations.

Tell us why you would be a good fit for this position.

When can you start?

How did you hear about this position?

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TV Ad

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Social Media

Internet Search

If you heard of us by a current employee, who referred you?

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4722 N Lois Ave Tampa, FL 33614 (813) 296-6229

bascarshopoutlet@gmail.com

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