Position Title
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How did you hear about us?
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Current Employee of BPC
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First Name
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Last Name
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Main Phone Number
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Email Address
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Have you ever been employed here?
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Are you legally eligible for employment in USA?
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Available for Full-Time employment?
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How much can you easily lift?†
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0-10 lb
25 lb
50 lb
75 lb
100 lb
125 lb
150 lb
175 lb
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Able to stand for long periods of time?†
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Able to stand for long periods of time?† is required
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Skills and Qualifications
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Educational Background
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Completed
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Didn't complete HS
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Degree or Certification Focus
Important Affiliations/Training?
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Disclaimer information:
†THIS QUESTION IS NOT DESIGNED TO ELICIT INFORMATION ABOUT AN APPLICANT'S DISABILITY. PLEASE DO NOT PROVIDE INFORMATION ABOUT THE EXISTENCE OF A DISABILITY, PARTICULAR ACCOMMODATION, OR WHETHER ACCOMMODATION IS NECESSARY. THESE ISSUES MAY BE ADDRESSED AT A LATER STAGE TO THE EXTENT PERMITTED BY LAW. SHOULD AN APPLICANT NEED MORE INFORMATION TO DETERMINE IF THEY CAN PERFORM A JOB’S ESSENTIAL FUNCTIONS, THEY SHOULD MARK THE BOX BELOW, AND A REPRESENTATIVE WITH THE HUMAN RESOURCES DEPARTMENT WILL RESPOND ACCORDINGLY.
††ANSWERING YES TO EITHER PART OF THE FOLLOWING QUESTIONS DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT. FACTORS SUCH AS DATE OF THE OFFENSE, SERIOUSNESS AND NATURE OF THE VIOLATION, REHABILITATION AND POSITION APPLIED FOR WILL BE TAKEN INTO ACCOUNT.
disclaimer
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