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  9. Store you are applying to work in?
  10. Desired position
  11. Availability? (check all that apply)
  12. How many hours would you like to work?
  13. Within the last 7 years, have you been convicted of, or completed your sentence or parole for a crime involving violence, sex, stalking, minors, theft, property damage, fraud, robbery or drugs?
  14. Are you currently charged with a crime involving violence, sex, stalking, minors, theft, property damage, fraud, robbery or drugs?
  15. If hired, can you show proof of your legal right to work in the United States?
  16. I hereby authorize Smokey Row to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Smokey Row to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Smokey Row Coffee Company. I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate Smokey Row to hire me. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Smokey Row at any time without prior notice for any reason.
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