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Are you available for: Weekends Overtime Date Message # Date you can Start EMPLOYMENT HISTORY Employed From: To: Month Month Date Date Year Year Company Name, Address & Phone Number Job Title & Description Reason for Leaving May we contact this employer for a reference Yes No Yes No Yes No Do you have family and/or friends who work for Crain Orchards, Inc.? If yes, state name(s) and relationship. Have you ever been convicted of a criminal offense (felony)?.

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