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APPLICATION FOR EMPLOYMENT

MCINTOSH TRAIL ECDC, INC

We consider applications for all positions without regard to race, color, religion, sex including

pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship status,

genetic information or any other legally protected status.

Date of Application
Month
Day
Year
How Did You Learn About Us?
Multi-line address
If You Are Under The Age of 18, Can You Provide Proof of Eligibility To Work?
Yes
No
Have You Filed an Application With Us Before?
Yes
No
If Yes, Give Date
Month
Day
Year
Have You Ever Been Employed With Us Before?
Yes
No
If Yes, Give Date
Month
Day
Year
Do any of your friends or relatives, other than spouse, work here?
Yes
No
Are you currently employed?
Yes
No
May we contact your present employer?
Yes
No
Are you lawfully authorized to work in the United States?
Yes
No

What Shifts Are You Available To Work?

Full Time
Part Time
Are you currently on "lay-off" status and subject to recall?
Yes
No
Can you travel i f a job requires it?
Yes
No

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

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