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) Reason for leaving - EMPLOYMENT INFORMATION DESCRIPTION OF DUTIES Employer Title of position Address Number of people supervised City State Zip Specific Duties Kind of business Employment Dates: From to Salary/hour: Beginning $ final $ Supervisor Name Supervisor Phone Number ( ) Reason for leaving - EDUCATIONAL RECORD Elementary And High School Information Circle last grade completed: 1 2 3 4 5 6 7 8 9 10 11 12 Name of School where last grade completed Diploma/Degree Lo.

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