QC Application

Name:

Enter Name

Email:

Enter Email

Home Address:

Enter Address

City:

Enter City

State:

Enter State

Zip code:

Enter Zip

Cell Phone:

Enter Phone Number

Position Applying For:

Enter Text

Can you perform the functions of this position without reasonable accommodations:

Yes

No

Are you currently employed? If so where:

Enter Text

Have you applied to TC's before? If so what position and when:

Enter Text

Wage Expected:

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Do you know or are related to anyone who works here? If so who:

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Highest grade level completed including college if applicable:

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Did you graduate with a diploma or degree:

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Other education that is relevant to this position:

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Are you at least 18 years old:

Yes

No

Can you legally work in the U.S.:

Yes

No

Have you ever been convicted of a crime? If yes explain the crime:

Enter Text

Do you have any felony charges against you? If yes explain:

Enter Text

Have you ever been denied bonding? If yes explain:

Enter Text

What other employment or other business do you have:

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Do you plan to continue other employment if employed by us:

Yes

No

Do you have a food handlers card:

Yes

No

List three personal references(provide names, addresses and contact number)

Reference 1

Reference 2

Reference 3

List present and past employment, including comapny name, address, title, how long, reason for leaving, and salary/wage

Employer 1 or current employer

Past Employer 2

Employer 2

Past Employer 3

Employer 3

Current Date:

Enter Date

I have read and agree with the Applicant StatementTAP HERE TO REVIEW THE STATEMENT

Which location can you work at:

Gilbert

Queen Creek

Both