Employment Opportunities Apply Now! Step 1 of 2 50% PersonalName First Middle Last Current Mailing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneDate of Birth Date Format: MM slash DD slash YYYY AgeWho referred you to Calico?PositionWhat position are you applying for?Are you interested in: Full-Time Part-Time Temporary Summer Date Available Date Format: MM slash DD slash YYYY Salary Acceptable Per HourSalary Acceptable Per MonthHave you ever worked for Calico? Yes No If yes, provide dates. Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY Have you ever been convicted for anything other than for a minor traffic violation? Yes No This information may be considered in hiring or job placement, but will not necessarily eliminate you from consideration.If yes, please explain.EducationHighest grade completed: 7 8 9 10 11 12 Secondary: 1 2 3 4 Vocational or other:Grade Point Average:ActivitiesClass organization, scholastic honors and other school activities (please exclude organizations which indicate race, creed, color or national origin):Hobbies and recreational interests: Employment HistoryListName & Address of Most Recent EmployerEmployment Dates (Ex: 12/14-2/16)Supervisor Name & TitlePhone #Your PositionPay Rate (Starting & Final)Reason for LeavingMay we contact this employer? (Y/N/Later) Select the days you are available to work. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Shift PreferenceEmergency Contact InformationNameAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneI understand that, if employed, false statements on this application shall be considered sufficient cause for dismissal. I hereby attest that all above statements made by me are true and to the best of my knowledge.Applicant's SignatureDate Date Format: MM slash DD slash YYYY
