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Any other legally protected status. ** PLEASE PRINT CLEARLY ** Position(s) applied for Date How did you find out about this job? Newspaper Employee Walk-in Relative / / Other Why are you seeking a new job at this time? Applicant Information First Name Middle Street Address Last Social Security No. Phone ( ) City/State/Zip If hired, do you have a reliable means of transportation to get to work? Are you at least 16 years old? Are you legally eligible for employment in the U.S.?.

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