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CITYBLOCK®
Job Manager
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Application Editor — Toggle fields on/off and edit text. Click Save Changes when done.

① Position Info
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② Step 1 — Applicant Information
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Full NameText field
Required
Street AddressText field
Required
City / State / Zip3-column text fields
Required
Phone NumberText field
Required
Email AddressText field
Required
Position TypeFull-time / Part-time radio
How did you hear about this position?Dropdown select
Required
Days AvailableText field
Required
Hours / Shift AvailableText field
Required
Available for Overtime?Yes/No radio
Available Start DateDate picker
Required
Reliable Transportation?Yes/No radio
Salary DesiredText field
③ Step 2 — Background & Eligibility
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Previously worked at CityBlock?Yes/No radio with conditional follow-up
Are you 18 years or older?Yes/No radio
Required
Authorized to work in the U.S.?Yes/No radio
Required
Proof of citizenship / legal statusText field
Consent to mandatory drug test?Yes/No radio
Required
Require ADA accommodations?Yes/No with conditional description
Criminal conviction history?Yes/No with conditional description
Skills & QualificationsTextarea
Required
④ Step 3 — Education & Training
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High SchoolName, location, year/degree
College / UniversityName, location, year/degree
Vocational / Specialized TrainingProgram name, location, year/cert
Military ServiceYes/No with branch, rank, years, skills
⑤ Step 4 — Previous Employment
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Employer #1 (Most Recent)Name, title, supervisor, phone, email, dates, reason
Employer #2Name, title, supervisor, phone, email, dates, reason
Employer #3Name, title, supervisor, phone, email, dates, reason
Employer disclaimer noteShown at top of step 4
⑥ Step 5 — Signature & Submission
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Applicant Signature padMouse/touch draw canvas
Required
Driver's License Photo UploadImage upload