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The duties of the position for which you are applying, including regular attendance? No Yes FORMER EMPLOYERS: Start with your present or last job. Include any job-related military service assignments and volunteer activities. 1. Employer: Dates Employed Address From Work Performed To Telephone Number(s) Job Title Supervisor Hourly Rate/Salary Starting Final Reason for Leaving 2. Employer: Dates Employed Address From Work Performed To Telephone Number(s) Job Title Supervisor Ho.

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