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Employment Application
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Application Form
If you are under 18 and it is required, can you furnish a work permit?
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Have you ever been employed here before?
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Are you legally eligible for employment in this country?
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Type of employment desired: Hold CTRL or CMD to select more than one
Full-Time
Part-Time
Temporary
Seasonal
Educational Co-Op
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?
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No
Need more information about the job's "essential functions" to respond.
This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Have you ever plead guilty?
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Yes
No
Answering "yes" to this question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account. NOTE: You are not obligated to disclose the existence of any conviction or arrest records which have been sealed, or expunged pursuant to Chapter 20, Section 2630/12 of the IL Compiled Statutes.
Employment History 1
May we contact them for reference?
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Employment History 2
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Corporate Headquarters
Phone 618-262-5118
Fax 618-263-4084
1611 College DrivePO Box 458Mt. Carmel, IL 62863
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