DowntownUniversity of Missouri Hospital KioskCoffee Roasting Room AssistantNo Preference
Your Name (Last, First, Middle)
Your SSN (this can be provided after employment is offered)
Telephone - Cell
Telephone - Work
Have you or a relative ever worked at Lakota before?
If other, what position?
Minimum Salary Desired
Date Available For Work
Employment Type Desired
Full Time; 30+ Hours Per WeekPart Time; 20-29 Hours Per WeekPart Time; 15-25 Hours Per WeekPart Time; 12-19 Hours Per WeekSeasonal
PLEASE INDICATE THE HOURS YOU ARE AVAILABLE TO WORK DURING BOTH THE DAY AND THE EVENING/NIGHT.
Downtown Hours: 6 a.m. - 12 a.m.
University of Missouri Hospital Kiosk Hours: 6 a.m. - 9 p.m. (7 p.m. on weekends)
Reason For Leaving
Employment Start Date
Employment End Date
How Many WPM Can You Type?
10-Key By Touch And Sight
Have you ever been dismissed from a job or forced to resign from any employment?
If Yes, Please Explain:
If employment is offered, can you submit verification of your legal right to work in the United States?
Why are you interested in working for our company?
What strengths would you bring to our company?
What did you not like about your previous jobs?
What did you like about your previous jobs?
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