{
  "schemaVersion": "1.2",
  "screenerQuestions": {"questions": [
    {
      "id": "homeAddress",
      "question": "Home Address",
      "required": true,
      "type": "text"
    },
    {
      "id": "city",
      "question": "City",
      "required": true,
      "type": "text"
    },
    {
      "id": "state",
      "options": [
        {
          "label": "AL - Alabama",
          "value": "AL"
        },
        {
          "label": "AK - Alaska",
          "value": "AK"
        },
        {
          "label": "AZ - Arizona",
          "value": "AZ"
        },
        {
          "label": "AR - Arkansas",
          "value": "AR"
        },
        {
          "label": "CA - California",
          "value": "CA"
        },
        {
          "label": "CO - Colorado",
          "value": "CO"
        },
        {
          "label": "CT - Connecticut",
          "value": "CT"
        },
        {
          "label": "DE - Delaware",
          "value": "DE"
        },
        {
          "label": "DC - Distict of Columbia",
          "value": "DC"
        },
        {
          "label": "FL - Florida",
          "value": "FL"
        },
        {
          "label": "GA - Georgia",
          "value": "GA"
        },
        {
          "label": "HI - Hawaii",
          "value": "HI"
        },
        {
          "label": "ID - Idaho",
          "value": "ID"
        },
        {
          "label": "IL - Illinois",
          "value": "IL"
        },
        {
          "label": "IN - Indiana",
          "value": "IN"
        },
        {
          "label": "IA - Iowa",
          "value": "IA"
        },
        {
          "label": "KS - Kansas",
          "value": "KS"
        },
        {
          "label": "KY - Kentucky",
          "value": "KY"
        },
        {
          "label": "LA - Louisiana",
          "value": "LA"
        },
        {
          "label": "ME - Maine",
          "value": "ME"
        },
        {
          "label": "MD - Maryland",
          "value": "MD"
        },
        {
          "label": "MA - Massachusetts",
          "value": "MA"
        },
        {
          "label": "MI - Michigan",
          "value": "MI"
        },
        {
          "label": "MN - Minnesota",
          "value": "MN"
        },
        {
          "label": "MS - Mississippi",
          "value": "MS"
        },
        {
          "label": "MO - Missouri",
          "value": "MO"
        },
        {
          "label": "MT - Montana",
          "value": "MT"
        },
        {
          "label": "NE - Nebraska",
          "value": "NE"
        },
        {
          "label": "NV - Nevada",
          "value": "NV"
        },
        {
          "label": "NH - New Hampshire",
          "value": "NH"
        },
        {
          "label": "NJ - New Jersey",
          "value": "NJ"
        },
        {
          "label": "NM - New Mexico",
          "value": "NM"
        },
        {
          "label": "NY - New York",
          "value": "NY"
        },
        {
          "label": "NC - North Carolina",
          "value": "NC"
        },
        {
          "label": "ND - North Dakota",
          "value": "ND"
        },
        {
          "label": "OH - Ohio",
          "value": "OH"
        },
        {
          "label": "OK - Oklahoma",
          "value": "OK"
        },
        {
          "label": "OR - Oregon",
          "value": "OR"
        },
        {
          "label": "PA - Pennsylvania",
          "value": "PA"
        },
        {
          "label": "RI - Rhode Island",
          "value": "RI"
        },
        {
          "label": "SC - South Carolina",
          "value": "SC"
        },
        {
          "label": "SD - South Dakota",
          "value": "SD"
        },
        {
          "label": "TN - Tennessee",
          "value": "TN"
        },
        {
          "label": "TX - Texas",
          "value": "TX"
        },
        {
          "label": "UT - Utah",
          "value": "UT"
        },
        {
          "label": "VT - Vermont",
          "value": "VT"
        },
        {
          "label": "VA - Virginia",
          "value": "VA"
        },
        {
          "label": "WA - Washington",
          "value": "WA"
        },
        {
          "label": "WV - West Virginia",
          "value": "WV"
        },
        {
          "label": "WI - Wisconsin",
          "value": "WI"
        },
        {
          "label": "WY - Wyoming",
          "value": "WY"
        },
        {
          "label": "AS - AMERICAN SAMOA",
          "value": "AS"
        },
        {
          "label": "CN - CANADA",
          "value": "CN"
        },
        {
          "label": "FM - F.S. OF MICRONESIA",
          "value": "FM"
        },
        {
          "label": "GU - GUAM",
          "value": "GU"
        },
        {
          "label": "MH - MARSHALL ISLANDS",
          "value": "MH"
        },
        {
          "label": "MP - N. MARIANA ISLANDS",
          "value": "MP"
        },
        {
          "label": "PW - PALAU",
          "value": "PW"
        },
        {
          "label": "PH - PHILIPPINES",
          "value": "PH"
        },
        {
          "label": "PR - PUERTO RICO",
          "value": "PR"
        },
        {
          "label": "VI - VIRGIN ISLANDS",
          "value": "VI"
        }
      ],
      "question": "State",
      "required": true,
      "type": "select"
    },
    {
      "id": "zipcode",
      "question": "Zip Code",
      "required": true,
      "type": "text"
    },
    {
      "id": "is_text_messaging_opt_out",
      "options": [{
        "label": "I do not wish to receive text message updates about my application.",
        "value": "true"
      }],
      "question": "Text Message Updates (Msg & Data rates may apply)",
      "type": "select"
    },
    {
      "id": "experiencePage1_break",
      "type": "pagebreak"
    },
    {
      "id": "work_experience_1",
      "text": "<b>Work Experience 1<\/b>",
      "type": "information"
    },
    {
      "id": "company_1",
      "limit": 45,
      "question": "Company",
      "type": "text"
    },
    {
      "id": "title_position_1",
      "limit": 45,
      "question": "Title/Position",
      "type": "text"
    },
    {
      "format": "dd/MM/yyyy",
      "id": "exp_from_1",
      "question": "From",
      "type": "date"
    },
    {
      "format": "dd/MM/yyyy",
      "id": "exp_to_1",
      "question": "To",
      "type": "date"
    },
    {
      "id": "address_1",
      "limit": 45,
      "question": "Address",
      "type": "text"
    },
    {
      "id": "phone_number_1",
      "limit": 45,
      "question": "Phone Number",
      "type": "text"
    },
    {
      "id": "type_of_business_1",
      "limit": 45,
      "question": "Type of Business",
      "type": "text"
    },
    {
      "id": "duties_responsibility_1",
      "limit": 100,
      "question": "Duties/Responsibilities",
      "type": "text"
    },
    {
      "id": "reason_for_leaving_1",
      "limit": 45,
      "question": "Reason for Leaving",
      "type": "text"
    },
    {
      "id": "experiencePage2_break",
      "type": "pagebreak"
    },
    {
      "id": "work_experience_2",
      "text": "<b>Work Experience 2<\/b>",
      "type": "information"
    },
    {
      "id": "company_2",
      "limit": 45,
      "question": "Company",
      "type": "text"
    },
    {
      "id": "title_position_2",
      "limit": 45,
      "question": "Title/Position",
      "type": "text"
    },
    {
      "format": "dd/MM/yyyy",
      "id": "exp_from_2",
      "question": "From",
      "type": "date"
    },
    {
      "format": "dd/MM/yyyy",
      "id": "exp_to_2",
      "question": "To",
      "type": "date"
    },
    {
      "id": "address_2",
      "limit": 45,
      "question": "Address",
      "type": "text"
    },
    {
      "id": "phone_number_2",
      "limit": 45,
      "question": "Phone Number",
      "type": "text"
    },
    {
      "id": "type_of_business_2",
      "limit": 45,
      "question": "Type of Business",
      "type": "text"
    },
    {
      "id": "duties_responsibility_2",
      "limit": 100,
      "question": "Duties/Responsibilities",
      "type": "text"
    },
    {
      "id": "reason_for_leaving_2",
      "limit": 45,
      "question": "Reason for Leaving",
      "type": "text"
    },
    {
      "id": "experiencePage3_break",
      "type": "pagebreak"
    },
    {
      "id": "work_experience_3",
      "text": "<b>Work Experience 3<\/b>",
      "type": "information"
    },
    {
      "id": "company_3",
      "limit": 45,
      "question": "Company",
      "type": "text"
    },
    {
      "id": "title_position_3",
      "limit": 45,
      "question": "Title/Position",
      "type": "text"
    },
    {
      "format": "dd/MM/yyyy",
      "id": "exp_from_3",
      "question": "From",
      "type": "date"
    },
    {
      "format": "dd/MM/yyyy",
      "id": "exp_to_3",
      "question": "To",
      "type": "date"
    },
    {
      "id": "address_3",
      "limit": 45,
      "question": "Address",
      "type": "text"
    },
    {
      "id": "phone_number_3",
      "limit": 45,
      "question": "Phone Number",
      "type": "text"
    },
    {
      "id": "type_of_business_3",
      "limit": 45,
      "question": "Type of Business",
      "type": "text"
    },
    {
      "id": "duties_responsibility_3",
      "limit": 100,
      "question": "Duties/Responsibilities",
      "type": "text"
    },
    {
      "id": "reason_for_leaving_3",
      "limit": 45,
      "question": "Reason for Leaving",
      "type": "text"
    },
    {
      "id": "experiencePage4_break",
      "type": "pagebreak"
    },
    {
      "id": "job_skills_qualification",
      "question": "Job Skills & Qualifications",
      "type": "textarea"
    },
    {
      "id": "additionalQuestions_break",
      "type": "pagebreak"
    },
    {
      "id": "33",
      "options": [
        {
          "label": "Full time",
          "value": "Full time"
        },
        {
          "label": "Part time",
          "value": "Part time"
        }
      ],
      "question": "What type of work are you interested in?",
      "required": true,
      "type": "multiselect"
    },
    {
      "format": "dd/MM/yyyy",
      "id": "37",
      "question": "Date available (mm/dd/yyyy)",
      "required": true,
      "type": "date"
    },
    {
      "id": "35",
      "options": [
        {
          "label": "Mon",
          "value": "Mon"
        },
        {
          "label": "Tue",
          "value": "Tue"
        },
        {
          "label": "Wed",
          "value": "Wed"
        },
        {
          "label": "Thu",
          "value": "Thu"
        },
        {
          "label": "Fri",
          "value": "Fri"
        },
        {
          "label": "Sat",
          "value": "Sat"
        },
        {
          "label": "Sun",
          "value": "Sun"
        }
      ],
      "question": "What days of the week can you work?",
      "type": "multiselect"
    },
    {
      "id": "34",
      "options": [
        {
          "label": "Yes",
          "value": "Yes"
        },
        {
          "label": "No",
          "value": "No"
        }
      ],
      "question": "Are you willing to work overtime when necessary?",
      "type": "select"
    },
    {
      "id": "44",
      "options": [
        {
          "label": "Yes",
          "value": "Yes"
        },
        {
          "label": "No",
          "value": "No"
        }
      ],
      "question": "Are you legally authorized to work in the United States?",
      "type": "select"
    },
    {
      "id": "48",
      "question": "Emergency contact name",
      "type": "text"
    },
    {
      "id": "49",
      "question": "Emergency contact phone number",
      "type": "text"
    },
    {
      "id": "46",
      "options": [
        {
          "label": "Yes",
          "value": "Yes"
        },
        {
          "label": "No",
          "value": "No"
        }
      ],
      "question": "Have you ever been employed by us?",
      "type": "select"
    },
    {
      "condition": {
        "id": "46",
        "value": "Yes"
      },
      "id": "42-46",
      "question": "If yes, when?",
      "type": "text"
    },
    {
      "id": "30",
      "options": [
        {
          "label": "Yes",
          "value": "Yes"
        },
        {
          "label": "No",
          "value": "No"
        }
      ],
      "question": "Are you currently employed?",
      "type": "select"
    },
    {
      "id": "31",
      "options": [
        {
          "label": "Yes",
          "value": "Yes"
        },
        {
          "label": "No",
          "value": "No"
        }
      ],
      "question": "May we contact your current employer?",
      "type": "select"
    },
    {
      "id": "38",
      "options": [
        {
          "label": "Yes",
          "value": "Yes"
        },
        {
          "label": "No",
          "value": "No"
        }
      ],
      "question": "Is there anything that would prevent you from performing in a safe manner the activities involved in the position for which you are seeking employment?",
      "required": true,
      "type": "select"
    },
    {
      "condition": {
        "id": "38",
        "value": "Yes"
      },
      "id": "40-38",
      "question": "If yes, what?",
      "type": "text"
    },
    {
      "id": "32",
      "options": [
        {
          "label": "Yes",
          "value": "Yes"
        },
        {
          "label": "No",
          "value": "No"
        }
      ],
      "question": "Are you over the age of 18?",
      "required": true,
      "type": "select"
    },
    {
      "condition": {
        "id": "32",
        "value": "No"
      },
      "id": "39-32",
      "question": "If no, state your age.",
      "type": "text"
    },
    {
      "id": "not-allowed-refer-to-altres",
      "options": [{
        "label": "Do not share",
        "value": "true"
      }],
      "question": "Check this box if you do not wish to allow Moani Waikiki to share your information with ALTRES for other career opportunities.",
      "type": "multiselect"
    },
    {
      "id": "preEmploymentQuestionPage_break",
      "type": "pagebreak"
    },
    {
      "id": "pre-employment",
      "options": [
        {
          "label": "Agree",
          "value": "agree"
        },
        {
          "label": "Disagree",
          "value": "disagree"
        }
      ],
      "qualification": {
        "match": {
          "type": "any",
          "values": ["agree"]
        },
        "type": "non-blocking"
      },
      "question": "ALTRES and Moani Waikiki, the company to which you are applying, have established a co-employment relationship that removes employment administration from the workplace.\r\nBecause of this relationship, if you accept an offer of employment with Moani Waikiki \"the Company\", ALTRES will become your employer for administrative purposes only and will provide human resources services to your workplace. If you have any questions about ALTRES, please call a member of our helpful staff.\r\nPlease read the following statement. I understand and agree that:\r\n1. The information I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment or, if employed, termination from employment.\r\n2. Any offer of employment I may receive is contingent upon my successful completion of any screening process, including ALTRES and/or the Company receiving references that they consider satisfactory.\r\n3. In processing this application, ALTRES and/or the Company may verify the information provided by me, or may procure or have prepared a consumer or investigative consumer report concerning my work history, education, character, reputation, background, and conviction record (if and as permitted by law). I understand that upon written request to ALTRES, I will be informed of whether an investigative consumer report was requested and given full information as to the nature and scope of this investigation.\r\n4. I authorize and request that my present and former employers, educational institutions attended, and references furnish information regarding my work history, education, character, reputation, and background. I hereby release ALTRES, the Company, and all providers of information from any and all liability relating to or arising from furnishing the requested information.\r\n5. I authorize ALTRES to release any information about me that it may obtain from any source to the Company, and specifically hold ALTRES harmless and release ALTRES from any and all liabilities, damages, or consequences associated with such disclosure.\r\n6. After receiving an offer of employment, I may be required by ALTRES and/or the Company to undergo a pre-employment medical examination and/or screening for alcohol and/or drugs, with the offer of employment conditioned on the result of such examination or screening. If employed, I agree to submit to a medical examination (or screening for alcohol and/or drugs) at ALTRES' or the Company's request, consistent with applicable law. I hereby consent to having the results of any pre- or post-employment medical examinations and/or screening for alcohol and/or drugs disclosed to the appropriate ALTRES or Company official.\r\n7. If employed, I agree that ALTRES is my employer of record for all workers' compensation matters. In the event of an occupational injury or illness, my exclusive remedy for such injury or illness shall be pursuant to ALTRES' workers' compensation coverage and I shall not seek benefits from the Company. A delay in reporting the injury or illness to ALTRES may result in a delay in receiving benefits.\r\n8. I agree to maintain the confidentiality of any proprietary information of ALTRES and/or the Company, including client lists, personnel information, internal communications, computer programs, price lists, business plans, financial statements, information pertaining to lawsuits or other legal proceedings, training programs, and product development. I agree that the use, communication, duplication and/or distribution of such information for personal benefit or for the benefit of another person, company, or entity other than ALTRES and/or the Company may be grounds for disciplinary action, up to and including dismissal, and may also result in legal action.\r\n9. This application is not an implied or express contract of employment and cannot create a contract of employment for any specific period. I understand that if I am offered employment, my employment will be \"at will\" and can be terminated at any time by me, ALTRES, or the Company, with or without cause or prior notice.",
      "required": true,
      "type": "select"
    }
  ]}
}