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Are you at least 18 years of age?

Yes

No

Note: Must be at least 16 years of age to be employed with The Factory (18 and over preferred).

EMAIL

Name

First

Last

PHONE

ADDRESS

City

State/Province

Zip/Postal

WORK EXPERIENCE

Job Title

Company/Location

Start Date

End Date

EDUCATION

Name of School and Level of Education Completed

SKILLS

BEHAVIORS - Select the work style that best describes you

MOTIVATIONS - Select the one that best describes you

Availability

Are you available to work weekends?

Yes

No

Are you available to work evenings?

Yes

No

Notes

When can you start?

Are you allowed to work lawfully in the United States for any business unit of Drake Enterprises, LTD?

Yes

No

Will you now or in the future require any business unit within Drake Enterprises, LTD to commence ("Sponsor") an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)? This is sometimes called "sponsorship" for an employment-based visa status.

Yes

No

Since reaching age 18, have you been convicted of a crime (excluding summary offenses such as speeding tickets) which has not been annulled, expunged, or sealed by a court? If "No" please indicated N/A. If "Yes" please describe in full detail including date(s), location(s), and the nature of the offense(s)* *A conviction record will not automatically result in your disqualification from employment; convictions will be considered only to the extent they relate to the job for which you have applied. However, failure to disclose a conviction and/or mis-characterization of a conviction automatically will result in your ineligibility for employment and/or termination of employment (even if the conviction would not have barred your employment had it been properly disclosed).

Were you previously employed by Drake Enterprises, LTD?

Yes

No

If "Yes", please give dates of employment and location(s)

Have you signed any agreement with any prior or existing employer which includes any restrictions on your ability to compete: to contact customers, Clients, or Employees; or To Use and/or Disclose Business, Client, or Customer Information?

Yes

No