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ES AND CHANCES OF SUCCESS IN THE POSITION FOR WHICH YOU ARE APPLYING. EVERY EFFORT HAS BEEN MADE TO COMPLY WITH APPLICABLE FEDERAL LAWS AND THE LAWS OF OUR STATE. IT IS NOT OUR INTENT TO DISCRIMINATE IN EMPLOYMENT BASED ON COLOR, RACE, SEX, RELIGION, AGE, NATIONAL ORIGIN OR DISABILITY. THIS APPLICATION WILL REMAIN ACTIVE FOR A PERIOD OF (90) DAYS ONLY. EMPLOYMEN T DESIRED NAME AND ADDRESS (Last Name) (First Name) (Middle Name) Current address (Number & Street) City County Drivers license.

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