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First name / Nombre

Last name / Apellido

What's your age? / Qué edad tiene?

Phone Number

Which position are you applying for? / Para cuál puesto está aplicando?

How did you hear about this position? / Cómo supo de este puesto?

What days are you available for work? / Qué días está disponible para trabajar?

What hours or shift are you available for work? / Qué horas o turno esta disponible para trabajar?

If needed, are you available to work overtime? / Si es necesario, está disponible para trabajar tiempo extra?

On what date can you start working if you are hired? / Si es contratado, en qué fecha puede comenzar a trabajar?

Do you have any friends, relatives, or acquaintances working for YCC Maintenance Services, Inc. / Tiene algún amigo, pariente o conocido que trabaje para YCC Maintenance Services, Inc?

Yes

Are you a U.S. citizen or approved to work in the United States? / Es usted ciudadano o tiene permiso de trabajo en Estados Unidos?

Yes

Please list below the skills and qualifications you possess for the position for which you are applying: / Por favor, escriba una lista de las cualificaciones y habilidades que posee para el puesto al cual está aplicando:

(Note: YCC Maintenance Services, Inc. complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )

High School / Escuela Secundaria (optional)

Name, Location (City,State), Year Graduated, Degree Earned

College/University (optional)

Name, Location (City,State), Year Graduated, Degree Earned

Vocational School-Specialized Training / Escuela vocacional (optional)

Name, Location (City,State), Year Graduated, Degree Earned

Previous Employment

Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving:

Previous Employment 2 (optional)

Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving:

Previous Employment 3 (optional)

Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving:

Please provide 2 personal and professional reference(s) (optional)

Reference Name & Contact Information

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