ReStore Application

Applicant

First Name *

Last Name *

Email *

Gender

Date of Birth *

Address Line 1 *

Address Line 2

Phone

City *

State *

Zip *

Emergency Contact *

Emergency Contact Phone *

Emergency Contact Email

Applicant Information

Date Available to Start The field Date Available to Start must be a date.

Desired Pay per hour The field Desired Pay per hour must be a number.

Position Applied for:

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you ever work for this company?

If so, when? The field If so, when? must be a date.

Have you ever been convicted of a felony?

If so, please explain: The maximum length for the field If so, please explain: is 500 characters.

Do you have a valid driver's license?

Do you have reliable transportation?

Do you have Box truck (U-haul type) experience?

Education

What is your highest level of education completed?

Job History

Current Employer The maximum length for the field Current Employer is 500 characters.

Years employed at this location The field Years employed at this location must be a number.

Previous Employer (Most Recent) The maximum length for the field Previous Employer (Most Recent) is 500 characters.

Years employed with previous Employer The field Years employed with previous Employer must be a number.

Did you serve in the Military?

Employment Interest

Why do you want to work for Habitat for Humanity? The maximum length for the field Why do you want to work for Habitat for Humanity? is 500 characters.