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Which Location:
Name*
First Last
Address*
Street Address City State ZIP Code
Home Phone
Mobile/Other Phone*
Email*
Date Available
MM slash DD slash YYYY
Dates Not Available
MM slash DD slash YYYY
Desired Salary*
Position Applied for

Are you a citizen of the United States?*
- Yes
- No
Are you authorized to work in the U.S.?
- Yes
- No
Have you ever worked for this company?
- Yes
- No
When did you previously work for this company?
Have you ever been convicted of a felony?*
- Yes
- No
Explain felony conviction:

Education
High School Name
High School Address:
Street Address City State ZIP Code
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
Did you graduate?*
- Yes
- No
Degree

College Name:
College Address
Street Address City State ZIP Code
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Degree

Other Education Name
Other Education Address
Street Address City State ZIP Code
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Degree

Please list three Professional References
Name
First Last
Relationship
Company
Address
Street Address City State ZIP Code
Phone
Reference 2
Name
First Last
Relationship
Company
Address
Street Address City State ZIP Code
Phone
Reference 3
Name
First Last
Relationship
Company
Address
Street Address City State ZIP Code
Phone

Have you ever served in the U.S. Armed Forces?*
- Yes
- No
What Date did you start?
MM slash DD slash YYYY
What Date did you end military service?
MM slash DD slash YYYY
Which branch*
Rank at Discharge
Type of Discharge
If other than honorable, explain

How many hours would you like to work each week?*
Please place an “X” in the boxes that correspond to shifts you're available to work.
I'm available to work Mornings: 10 am - 3 pm
- Select All
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
I'm available to work Mid: 3 pm- 9 pm
- Select All
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
I’m available to work Closing: 6 pm - 1 am
- Select All
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Consent to paragraph 4 above?*
- I agree
- I disagree
Initials*
Authorization & Consent Date*
MM slash DD slash YYYY
Authorization & Consent Signature

Contact Us

105 Avenue A
Denton, TX 76201
940-260-7527
slap@slapbb.com

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105 Avenue A
Denton, TX 76201

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