General Application Post author By magnoliashomecare Post date January 11, 2021 Apply Online *What schedule are you applying for? W2 (hourly) 1099 (contracted) *Name0/50*Date of Birth*Cell Phone*Address0/200Please provide your full address*City, State, ZIP*E Mail*Are you eligible to work in the US? Yes No *Are you a US citizen? Yes No *If you are under 18 and we require a work permit, can you furnish one? Yes No *Position(s) applying for:*Hours Available: Days Evenings Overnight Preferred Hourly Salary?*If hired, would you have transportation to/from work? Yes No *If hired, on what date can you start working?*Driver's License #:*State:*Social Security #:*Have you ever applied to or worked for this Company or its related companies? Yes No if yes please explain include date*High School:*College or University:Graduate School:*Are you currently employed? Yes No *If you are currently employed, may we contact your current employer? Yes No Please attach your resume. Fields with (*) are compulsory.