Join Our Team - Salud! de Mesilla

Position

Employment Desired

Full-Time Part-Time Seasonal/Temporary

Date Available to Start

Are you Legally Able to Work in the United States?

Date of Birth if Under 21

Shift Available

Mon

Tues

Wed

Thurs

Mon Overtime?

Yes No

Tues Overtime?

Yes No

Wed Overtime?

Yes No

Thurs Overtime?

Yes No

Fri

Sat

Sun

Fri Overtime?

Yes No

Sat Overtime?

Yes No

Sun Overtime?

Yes No

Education

Diploma/Degree

Major/Area of Study

Trade School

Diploma/Degree

Major/Area of Study

Previous Employment (Most Recent)

Previous Employment 2

Previous Employment 3

Previous Employment 4

Please list any relevant skills, special interests, training, or memberships

References

I certify that I have read this application and the information on it is complete and correct. I understand that any omission or misrepresentation of information is grounds for dismissal. 2. I understand that any violation of company rules, standards, and procedures are grounds for dismissal. 3. I will be given a company handbook at the beginning of my employment and am agreeing to follow all rules, policies, standards, and procedures given in full. 4. I understand that my employment can be terminated with or without cause or notice. 5. All employees will be asked to verify employment eligibility prior to beginning work. By typing my full name I hereby agree that this form is complete and true.

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