WORK AT

TACO CASA

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Tell Us About Yourself

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Are you over the age of 18?(Required)

Yes

Currently Attending School?(Required)

Yes

Highest Level of Education Completed

Work Availability

Do you have transportation?(Required)

Yes

How many hours per week are you available to work?(Required)

Please enter a number from 0 to 80.

What days and times are you available to work?(Required)

Any Day or Evening Shift - Opens and Closes

Day Shifts - Opens only

Evening Shifts - Closes only

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Employment History / Personal References

If not applicable, please list work performed on a volunteer basis or personal references.

Company or Reference #1

Company / Reference Name:

Job Performed:

Start Date:

End Date:

Rate of Pay

Phone

(phone number of previous employer or personal reference)

Supervisor

(or Name of Personal Reference)

Reason for Leaving:

Company or Reference #2

Company / Reference Name:

Job Performed:

Start Date:

End Date:

Rate of Pay

Phone

(phone number of previous employer or personal reference)

Supervisor

(or Name of Personal Reference)

Reason for Leaving:

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Main Slider

Tell Us About Yourself

Work Availability

Employment History / Personal References

Company or Reference #1

Company or Reference #2