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Half Moon Employment Application
* indicates required information

I'm applying for a job at:	Select One Half Moon, Biltmore Half Moon, Moon Valley Half Moon, Tempe
Desired Position:

First Name:		City:
Middle Name:		State:
Last Name:		Zip:
Address 1:		Phone:
Address 2:		Email:

Are you 21 or older?	Yes No
Are you a US citizen?	Yes No
Have you ever been convicted of a felony?	Yes No

Education
	Name/Location	Years Attended	Graduated?	Major
High School			YesNo
College/Trade			YesNo
Other			YesNo

Former Employers
From/To Dates	Name and Address	Supervisor Name/Phone	Position	Reason for Leaving
/
/
/

Personal References
Name	Address	Phone	Years Known	Relationship

Availability
Shift	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Day:	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo
Night:	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo	SelectYesNo

Do you smoke?	YesNo
If so, can you work a full shift without smoking?	YesNo
Do you own reliable transportation?	YesNo

Please list any disabilitities that would prevent you from doing your job:
Please list any special skills that would help you do your job better: