Bobby Cox Companies, Inc. is an Equal Opportunity Employer. All applicants are considered without regard to race, color, religion, disability, sex, national origin, age (for those age 40 or over), or any other basis protected by federal, state, or local law. This employment application is only active for 30 days. After this time period a separate employment application must be submitted in order to be considered for employment.

Which Location are you applying for?
First Name Middle Last
Street Address Social Security No.
City State Zip Phone
How did you hear about this job?
If hired, do you have a reliable means of transportation to get to work?
Minimum salary expected? At least 18 years old?
If the job you are applying for requires driving:
Driver's License No. State Issued Exp. Date
Are you legally eligible for employment in the U.S.?
Have you ever been convicted for a crime? (Massachusetts applicants should not include misdemeanor convictions; California applicants should not include marijuana-related convictions that occurred more than 2 years prior to the application date.)

Are you seeking :  What position(s) are you applying for?
What hours and shift(s) would you prefer to work?
What hours and shift(s) would you prefer not to work?
Please indicate any shift(s) you would not be available to work.
Are you willing to work overtime? Weekends? Holidays?
Are you currently employed? If hired when would you be able to start?
Have you ever worked for this organization before?
If yes, name used:
List any friends or relatives employed by this company:
Are you on layoff and subject to recall?
Have you ever been discharged or asked to resign from any position?
If yes, please describe:
How many days have you been late to school or work within the last year other than approved vacation, sick or disability leave? Please describe:

How many days of school or work have you missed within the last year other than approved vacation, sick or disability leave? Please describe:
If applicable, please refer to the attached job description for the position for which you are applying. Are you able to perform all these tasks with or without reasonable accomodation?
Please describe tasks, if any, you will need an accomodation to perform, and explain what type of accomodation you will need