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6145 Savannah Highway Ravenel, SC 29470

JOB APPLICATION

Coastal Resource Staffing is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Applicant Information

Name
Address
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Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
Have you ever been convicted of a felony?

Education

References

Please list three professional references
Address
Address
Address

Previous Employment

May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release. I also certify that, if at any time, I am administered a substance test and fail that it will be an immediate release of employment.
MM slash DD slash YYYY