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42
HEALTHY HUT
EMPLOYMENT APPLICATION
Personal Information
Name (Last, First)
Street Address
City, State Zip
Home Phone
Cell Phone
Email Address
Employment Desired
Desired Position
Date Available For Work
Permanent or Seasonal (circle one)
Availability
Mon
Tue
Wed
Thu
Fri
Sat
Sun
AM
PM
Employment History
Employer
Supervisor's Name
Phone Number
Position(s)
Hourly Wage
Start Date
End Date
Figure 1.12
E
F
A
B
C
D
Project 1.12
·
Employee Application
·
Healthy Hut
For Evaluation Purposes Only