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Hotbins Employment Application
mm/dd/yyyy
Store Location
*
- Select -
Hialeah
Fort Myers
Lake Worth
Tamarac
Tampa
Position Applied for
*
- Select -
Cashier
Stock
Management
Fork Lift Operator
How did you hear about us
*
- Select -
Family Referral
Social Media
Walk In
Indeed
Marketing Material
First Name
*
Last Name
*
Email
*
Phone Number
Home Address
*
City
*
State
*
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Zip Code
*
Legal Status
*
- Select -
US Citizen
Employment Authorization
Resident Alien
Student Visa
Are you over the age of 18?
*
- Select -
Yes
No
Desired Hourly Pay
*
Desired Type of Employment
*
- Select -
Full Time
Part Time
Seasonal
Temporary
What days are you available to work ?
*
Mon
Tue
Wed
Thur
Fri
Sat
Sun
What time are you available to work ?
*
All TImes
Mornings
Evenings
Do you have reliable transportation?
*
- Select -
Yes
No
Main Language
Second Language
Employment Histroy
Employer Name
*
Job Title
*
Ok to contact?
*
- Select -
Yes
No
Approx Start Date
*
mm/dd/yyyy
Approx End Date
mm/dd/yyyy
<-- Leave blank if still employed
Supervisor's Name
*
Contacts Phone
*
City and State of Employer
*
Upload Resume
Resume Upload
I agree that the information submitted is true and accurate to the best of my knowledge
Signature of Applicant
*
*
=
Input is required
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