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Me and organization(s) May we contact the employers listed above? If not, list the employers you do not wish us to contact and why: . Authorizations & At-Will Employment Agreement (please read carefully, then sign and date below) I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideratio.

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