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Get Vernon Powell Job Application Form

E an ink pen and please print. GENERAL INFORMATION DATE OF APPLICATION: NAME: DATE AVAILABLE FOR WORK: First Middle POSITION DESIRED: Last WAGE DESIRED: HOURS DESIRED: FULL TIME G PART TIME (35 or more hrs. per wk.) SOCIAL SECURITY NUMBER: G SEASONAL (Less than 35 hours per wk.) Are you at least 18 years old? YES G NO G G (If you are under 18, you may be required to provide a work permit prior to working.) STREET ADDRESS: Please indicate the hours you are available to work.

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