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141 Helman Lane Unit B Cotati, CA 94931 • Monday - Saturday, 8am-5pm
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707-992-0879
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Use the form below to inquire about employment opportunities with our company.
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Do you have the legal right to work in the U.S.? *
Yes
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Have you applied to this organization before? *
Yes
No
Have you ever been employed by this organization before? *
Yes
No
Have you ever been convicted of a felony? *
Yes
No
Position(s) Desired or Area of Interest *
Technician
Customer Service
Date Available
Shifts You Can Work
Mon - Fri 8am - 5:30pm
Mon - Fri 5:30pm - 11pm
Saturday & Sunday 8am - 4pm
Saturday & Sunday 4pm - 11pm
How were you referred to our organization? *
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Employee
Other Company
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Employment Services
Other
Are you taking any educational course(s) presently? *
Yes
No
I will be soon
Have you ever served in the U.S. Armed Forces? *
Yes
No
Other
List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives.
Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
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May we contact this employer?
Yes
No
Did you have another job before this one?
Yes
No
I agree to Drug Screening at the company's expense.
Yes
No
I agree to a Criminal Background Check at the company's expense
Yes
No
Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
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