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Applicant Personal Information
Have you ever used any other names or aliases, including maiden, married names and previously married names?
Are you at least 18 years of age?
Are you legally authorized to work in the United States?
Have you previously interviewed with PCA?
Were you ever employed by PCA?
Are there limitations on the locations you are willing to work?
Are there any limitations on the hours you can work?
If required, can you work any shift?
If required, are you willing to travel?
Do you have a valid driver's license?
High School Graduate or Equivalent?
Business / Trade / Vocational School
Business / Trade / Vocational Graduate?
Professional License Certification
Professional License Certification?
Most Recent Employment
May we contact the above now?
Previous Employer 2
Do you have any relatives employed by PCA? ( A relative is a mother, father, mother-in-law, father-in-law, husband, wife, son, daughter, son-in-law, daughter-in-law, grandparent, grandchild, brother, sister, brother-in-law, sister-in-law, stepparent, stepchild, stepsibling, aunt, uncle, niece, nephew or cousin of an employee or employee’s spouse)
Have you ever been disciplined disciplined or discharged by any employer for absenteeism, tardiness, failure to notify your company when absent, or any other attendance-related reason?
Have you ever been disciplined or discharged by any employer for theft, unauthorized removal of company property, or related offenses?
Have you ever been disciplined or discharged by any employer for fighting, assault, or related offenses?
Have you ever been disciplined or discharged by any employer for insubordination?
Have you ever been disciplined or discharged by any employer for possession or use of alcohol or drugs at work?
Have you ever been terminated by any employer or asked to resign from employment for any reason?
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