TXTBookie Application

Personal Information

Name *

First
Last
Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone Number *

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###		-
####
Email *
Are you eligible to work in the United States? *
 Yes 
 No 

POSITION/AVAILABILITY:

Desired Position *
 Work for Books Bookie 
 Seasonal Bookie 
 Intern Bookie 
Days Available *
 Monday 
 Tuesday 
 Wednesday 
 Thursday 
 Friday 
 Saturday 
 Sunday 
 Any 
Hours Available
 AM 
 PM 
For specific Day/Hour availability, please enter information below.
What date are you available to start work? *

MM		/
DD		/
YYYY

EDUCATION:

Name of School - Major - Expected Graduation Date *
Skills and Qualifications: Licenses, Skills, Training, Awards *

EMPLOYMENT HISTORY:

Present Or Last Position:
Employer: *
Address: *
Supervisor: *
Phone Number *

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###		-
####
Position Title: *
Start Date *

MM		/
DD		/
YYYY
End Date *

MM		/
DD		/
YYYY
Responsibilities: *
May We Contact Your Present Employer? *
 Yes 
 No 
References:
Name & Phone *

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Do you agree with the terms and conditions? *
 Yes, I agree. 
Initial *
Date *

MM		/
DD		/
YYYY
Checkbox
 First option 
 Second option 
 Third option 
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