Which Siempre Store Location are you applying for?
Have you ever been in the WIC program before?
Have you ever worked for another Company that dealt with WIC?
Are you Bilingual?
If yes, what languages do you speak?
Are you interested in Part-Time or Full-Time?
Hours available to work?
Days available to work?
Have you ever been convicted of a crime or felony
If you answered yes, please explain why.
How did you hear about our Company?
Do you know anyone (Relative/Friend) that works with our Company?
If yes, please put Name of Person and Location that they worked:
Is this person still employed with our company?
Are you willing to travel?
If so please check all the different stores:
Do you have proper transportation?
Do you have proper Child Care available?
Previous Employer One:
Reason for leaving?
May we contact them?