Please fill in the following information:   Full name Address 1 Address 2 City State Zip Phone Fax E-Mail Comments   Please give me a phone call. Preferred time Possible position which interests you? Are you at least 18 years old? YES NO If not, state your age for child labor purpose only: Are there any days, shifts or hours you will not work?    If yes, please explain: When will you be able to start work? How did you hear of our company? If by referral, who? Are you legally authorized to work in the United States: YES NO Will you now or in the future require sponsorship for    employment visa status (e.g., H-1B visa status)? YES NO Any Comments?