Location(s) Applying For Check all that apply PLANET XCHANGE KNOXVILLE PLANET XCHANGE ALCOA GREATER GOODS Name * First Name Last Name Name you go by (if different than above) First Name Last Name Preferred Pronouns She/Her He/Him They/Them Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Do you know anyone employed here currently or in the past? * Yes No Myself If so, who? First Name Last Name Weekly amount of hours desired * Select Below 10-20 20-25 25-30 30-35 40 Your Availability * Enter hours available below next to applicable day. Monday Start Time Earliest time available on this day at/after 9:30 a.m. Hour Minute Second AM PM Monday End Time Latest time available this day Hour Minute Second AM PM Tuesday Start Time Earliest time available on this day at/after 9:30 a.m. Hour Minute Second AM PM Tuesday End Time Latest time available this day Hour Minute Second AM PM Wednesday Start Time Earliest time available on this day at/after 9:30 a.m. Hour Minute Second AM PM Wednesday End Time Latest time available this day Hour Minute Second AM PM Thursday Start Time Earliest time available on this day at/after 9:30 a.m. Hour Minute Second AM PM Thursday End Time Latest time available this day Hour Minute Second AM PM Friday Start Time Earliest time available on this day at/after 9:30 a.m. Hour Minute Second AM PM Friday End Time Latest time available this day Hour Minute Second AM PM Saturday Start Time Earliest time available on this day at/after 9:30 a.m. Hour Minute Second AM PM Saturday End Time Latest time available this day Hour Minute Second AM PM Sunday Start Time Earliest time available on this day at/after 11:30 a.m. Hour Minute Second AM PM Sunday End Time Latest end time at/before 6:30 p.m. Hour Minute Second AM PM Are you currently employed? Yes No May we contact your current employer for a reference? * Yes No If Yes, name of supervisor we may contact for verification of employment First Name Last Name Current or Most Current Job * Name of Business Date Employment Began If Applicable MM DD YYYY Date Employment Ended MM DD YYYY Ending Hourly Rate of Pay Why did you, or do you want to leave? 2nd Most Current Job (if none, write none) * Name of Business Date Employment Began MM DD YYYY Date Employment Ended MM DD YYYY Ending Hourly Rate of Pay Why did you leave? 3rd Most Current Job (if none, write none) * Name of Business Date Employment Began MM DD YYYY Date Employment Ended MM DD YYYY Ending Hourly Rate of Pay Why did you leave? Why do you want to work here? What special skills do you have to contribute to the success of Planet Xchange? If hired, when can you start? Thank you for your interest in Planet Xchange. If your availability matches our current position openings, we will contact you. Feel free to call us directly to check on the status of your application.
