Name *

First Name

Last Name

Phone *

(###)

###

####

Do you have a High School Diploma or GED? *

Yes

No

Are you 21 years of age or older? *

Yes

No

What shifts can you work? *

Day (8 am - 4 pm)

Swing (4 pm - 12 am)

Grave (12 am - 8 am)

Can you work overtime, including weekends? *

Yes

No

Do you have reliable transportation? *

Yes

No

Are you a member of a Native American Tribe

Yes

No

How did you hear about us?

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Facebook

Instagram

Referral

Other

Have you ever been convicted of a felony offense? *

Yes

No

Are you able to pass a drug test? *

We do not accept medical marijuana cards.

Yes

No