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112 W. Hwy 212, Ph. 952-448-2511 CFG.KevinConnection.com |
(Pre-employment questionnaire) (An equal opportunity employer) |
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Date: |
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Name: |
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Address: |
Home Phone
No: |
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Cell Phone
No: |
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Email: |
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Are you 18 years old or older? |
Yes
No |
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Are you prevented from lawfully becoming employed in
this country because of visa or immigration status? |
Yes
No |
Which days would you prefer to work, and how many hours would
you be available on those days?
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Our Business Hours |
Enter the number of hours you would
like each day. (Minimum of 3
hours for any workday.) |
Additional Notes (morning/afternoon preference,
etc.) |
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Monday |
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Tuesday |
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Wednesday |
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Thursday |
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Friday |
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Saturday |
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Sunday |
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EDUCATION
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School |
No. of years
attended |
Name of
school/Major |
City,
State |
Did you
graduate? |
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High |
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College |
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Yes | |
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Other |
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Yes | |
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EXPERIENCE
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Name of Company |
Date |
List your
duties |
Starting |
Final |
Reason for
leaving |
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Do you have any sales or customer service
experience? |
Yes
No |
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Do you have experience running a cash register?
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Yes
No |
How would you rate your 10-key skills? (Can you enter numbers on a keypad
quickly without looking?)
Fast
Average Hunt-n-Peck
___ ____
keystrokes/hr
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Are you able to lift at least 50 lbs. on a regular
basis? |
Yes
No |
BUSINESS REFERENCES
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Name |
Address &
Phone No. |
Occupation |
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On a separate sheet of paper,
1. Please write a mini-essay on why you are interested in this job. Include references to your experience, education, or curiosity regarding plants.
2. List up to 10 annual plants which you can already identify.
3.
List up to 10 perennial plants which you can already
identify.