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Last name
First name
Middle initial
Email
Phone
Street Address
Apartment/Unit #
City
State
Zip code
Location
Live Oak, Fl
Lake City, Fl
Jasper, Fl
Madison, Fl
Greensboro, Fl
Panama City Beach, Fl
Panama City Beach, Fl (Starbucks)
Salary Desired
Type of Employment
Full Time
Part Time
Temporary
Days available
All
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you legally able to work in the United States?
No
Yes
Are you over the age of 18?
No
Yes
Are you able to perform any or all job functions with or without reasonable accommodation?
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
If yes, describe conditions
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