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Employment Application

I understand this application will be reviewed and my qualifications considered for possible job openings.

Email* First Name* Last Name* Phone* Date*

Position Desired* Requested Wages (per hour)* Type of Employment*
Temporary
Permanent
Full Time
Part Time

Days Available*
Monday-Friday
Other
(explain below)
Hours Available* Do you have a Valid Drivers License?* Do you have your own vehicle?*

Employment History

Previous Employer* Dates Employed* Wages (per hour)* Describe Position and Duties*

Education

Number of years completed*
High School
Undergraduate College
Graduate/Professional School

Describe your major area(s) of study* Other training* List other information for the employment you are seeking*

References

Name One* Address* Phone* Relationship to the reference* Name Two* Address* Phone* Relationship to the reference* Name Three* Address* Phone* Relationship to the reference* By checking Yes I certify that the above information is correct.
Yes

All potential employees are evaluated without regard to race, color, religion, gender, national origin, age, marital or veteran status, the presence of a non-job related handicap or any other legally protected status.

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(843) 521-9766

1840 Ribaut Rd, Port Royal, SC 29935