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Claria Clean Job Application
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* Indicates required question
Name
*
First name, middle initial, last name
Your answer
Street Address
*
Your answer
City, State, Zip Code
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Which position(s) are you interested in?
*
Your answer
Desired Rate of Pay
*
Your answer
Are you legally eligible for employment in this country?
*
Yes
No
Do you have reliable transportation to and from work?
*
Yes
No
What days of the week are you available to work?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
What hours of the day are you available to work? Example: 5 to 9 pm (Note: If you have different hours on different days, please list what hours for what days you can work.)
*
Your answer
What is your ideal start date?
*
MM
/
DD
/
YYYY
Ideally, how many hours per week are you looking for?
*
Your answer
Have you been convicted of a felony in the last 7 years?
*
Yes
No
If yes, please explain
*
Your answer
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