Do you have a valid driver’s license?*
No answer Yes No
What’s your citizenship / employment eligibility?*
No answer I am a U.S. Citizen/Permanent Resident Non-citizen allowed to work for any employer Non-citizen allowed to work for current employer Non-citizen seeking work authorization I am a Canadian Citizen/Permanent Resident Other
Are you 18 years of age or older?*
No answer Yes No
If you have lived at this address for less than 5 years please list your previous address:
**************** Employment #1*
-- No answer -- Part-Time Full-Time
**************** Employment #2
-- No answer -- Part-Time Full-Time
**************** Employment #3
-- No answer -- Part-Time Full-Time
**************** Employment #4
-- No answer -- Part-Time Full-Time
**************** Employment #5
-- No answer -- Part-Time Full-Time
**************** Employment #6
-- No answer -- Part-Time Full-Time
**************** Employment #7
-- No answer -- Part-Time Full-Time
**************** Employment #8
-- No answer -- Part-Time Full-Time
**************** Employment #9
-- No answer -- Part-Time Full-Time