Job Application Job Application PERSONAL INFORMATION Name * First Last * Last Middle Initial Middle Initial SSN Last 4 digits of your Social Security Number Email * Email Address Home Phone Format: 000-000-0000 Mobile Phone Format: 000-000-0000 Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Position Applying For Entry Level Position Compensation or Salary Requirements How were you referred to Muncie Novelty/Indiana Ticket ("MN/IT") Have you ever applied to or been employed by ("MN/IT") Yes No If so, where and when Are you currently employed? Yes No May we contact your present employer? Yes No Are you legally authorized to work in the U.S.? Yes No Will you now or in the future require sponsorship for employment visa status? Proof of citizenship or immigration status will be required upon employment. Yes No Is your legal age at least 18? Yes No If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No If you are human, leave this field blank.
