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EMPLOYMENT

Applicant Information

Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the United States?
Yes
No
Have you ever worked for this company?
Yes
No
Have you ever been convicted of a felony?
Yes
No

Education

Did you graduate?
Yes
No
Did you graduate?
Yes
No

References

Please list three professional references.

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Previous Employment

May we contact your previous supervisor?
Yes
No

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May we contact your previous supervisor?
Yes
No

Available Work Schedule

Disclaimer And Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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