4325 E 51st, Suite 116

Tulsa, OK 74135

Phone: 918-828-9961
Fax: 918-828-9983

 

  

 

Job Application

*Last Name:
*First Name:
Middle Initial:
Address:
Apt:
*City:
Zip:
*Home Phone:
Message Phone / Pager:
Social Security No:
Min. Hourly Salary:
Method of Transportation: Own Car
Bus
Other
Do you have: Steel Toe Boots
Hard Hat
Safety Glasses

Which days can you work?
Shifts: 1st  2nd  3rd
Have you ever been convicted of a felony in the last 5 years? Yes No
Explain:
Please describe any physical, mental, or sensory limitations that should be considered in job placement:

 
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