Employment Opportunities Apply Now! Step 1 of 2 50% PersonalName First Middle Last Current Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneDate of Birth 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 MM slash DD slash YYYY Salary Acceptable Per HourSalary Acceptable Per MonthHave you ever worked for Calico? Yes No If yes, provide dates. MM slash DD slash YYYY To 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 Preference Emergency Contact InformationName Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 MM slash DD slash YYYY
