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Get PVSC Employment Application.xlsx - Passaic Valley Sewerage ...

Mber:(optional) Date: Home Phone Number: Name: (last, first, middle initial) Cell Phone Number: Mailing Address: (if different) Address: (number & street, city, state and zip) Do you have a valid driver's license? Yes No Are you a resident of New Jersey? If Yes, Indicate Driver's License Number and State: Position applied for:(please specify) Position type: Full Time Yes Salary or rate of pay expected: Summer Are you legally eligible for employment in the United States? No Yes.

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