Pre-Application Form

Name: *

Address: *

Address 2:

City: *

State: *

ZIP:

Phone:

Type:

Home

Cell

Work

Email: *

For which position are you applying?: *

Are you 18 years of age or older?: *

Yes

No

Type of work desired: *

Full-time

Part-time

What part of the day are you available to work?: *

1st Shift

2nd Shift

3rd Shift

Anytime

Are you currently employed?: *

No

Yes

If currently employed, why do you wish to change?: *

Do you have any experience in the convenience store, grocery, or food service industries?: *

No

Yes

Have you ever been employed by WDP?: *

No

Yes

On which date would you abe able to start?: *

May we contact your present or previous employers?: *

No

Yes

Have you been convicted of a felony in the last 7 years?: *

No

Yes

Proof of employability?: *

To comply with laws concerning the employment of illegal aliens, check this box if you can provide proof of employability.

How did you learn about WDP?: *

Please upload your resume:

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