Career Center

Name: Cross Roads
Address: 8800 Highway 380, Suite 500, Cross Roads, TX, 76227, US
Telephone: 940-488-4228
Price range: $000 - $300

Would you like to be part of our team? Fill out the form below and attach your resume for consideration.

Date
Date Format: MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Job I am applying for*
Why do you want to work here?
What skills or knowledge are you hoping to gain?
What skills or knowledge do you already possess that you believe makes you a good candidate for the position you are apply for?
Drivers Licence #
State Issued
Have you ever been convicted of a felony?*
- Yes
- No
Please provide 2 emergency contacts and their relationship
Highest level of education achieved?
Industry specific certifications --> ABO, NCLE, CPOT, COA, LDO (indicated license number/state)
Employment Experience
Employer
Dates Employed (From/To)
Immediate Supervisor
Address
Job Title
Rate of Pay (Starting/Final)
Telephone No
Worked Performed
Reason for Leaving
Employer
Dates Employed (From/To)
Immediate Supervisor
Address
Job Title
Rate of Pay (Starting/Final)
Telephone No
Worked Performed
Reason for Leaving
Have you ever been dismissed or forced to resign from employment? If 'yes' please explain.
Do you have transportation to work?
- Yes
- No
Are there any days/times you are not available to work?
Why are you leaving your current employment?
Have you applied to work here previously?
- Yes
- No
Please indicate the number of hours you are anticipating working each week.
- 0 - 15 hours
- 15 - 30 hours
- 30 - 40 hours
Personal References - Please list three persons not related to you whom you have known for at least one year:
Name
Address/Phone #
Occupation
Name
Address/Phone #
Occupation
Name
Address/Phone #
Occupation
Attach your Resume

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Employment Experience

Personal References - Please list three persons not related to you whom you have known for at least one year: