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**JOIN THE Cycleogical TEAM**

JOB APPLICATION

Today's Date *

Personal Information

First Name *

Last Name *

Address *

City *

State *

Postal code *

Email *

Phone *

Are you 18 years or older? *

Yes

No

Full Time or Part Time *

Full Time

Part Time

What position are you applying for? *

Salary/Expected Wage?

Date you can start? *

Have you applied with us before? *

Yes

No

Previous Work History

Are you employed now? *

Yes

No

Current Employer

Current Employer Address

Current Employer Phone #

Name of supervisor?

May we contact your supervisor?

Yes

No

Current Wage/Salary?

Reason for leaving current job?

Have you ever worked at a bike shop?

Yes

No

If yes, where?

How long?

If no, please tell us about your retail experience?

Tell Us About Yourself

Do you speak any languages other than english?

Yes

No

If yes, which add'l languages do you speak?

Why do you want to work at Cycleogical?

Interests/Hobbies?

Special skills we should know about?

Why should we pick you for the job?

Please Provide Two (2) References

Reference #1 *

Reference #2

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

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Cycleogical

34102 La Plaza, Suite A

Dana Point, CA 92629

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