Date Available to Start:*
Are you a US citizen?* YesNo
Position Applying for:*
Have you worked at Coolers Inc. previously?* YesNo
Coolers Inc. Referral (If applicable):*
Do you have a bachelor’s Degree?* YesNo
where did you attend?
Do you have an associates degree?* YesNo
Do you have a High School Diploma or Equivalent?*YesNo
First Reference Name:*
Job Title of Reference:*
Second Reference Name:
Job Title of Reference:
Third Reference Name:
Company (Most Recent):*
Are you currently employed here?* YesNo
Please provide a summary of your responsibilities:*
Reason for Leaving:*
Can we contact this employer?*YesNo
Are you currently employed here? YesNo
Please provide a summary of your responsibilities:
Reason for Leaving:
Can we contact this employer?YesNo
Can we contact this employer? YesNo
Have you ever served in the Military? YesNo
What was your rank at discharge?
Type of Discharge?
If other than honorable, please explain?
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