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O. DATE OF BIRTH IF RELATED TO ANYONE IN OUR EMPLOY STATE NAME AND DEPARTMENT EMPLOYMENT DESIRED REFERRED BY DATE YOU SALARY CAN START DESIRED IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? POSITION ARE YOU EMPLOYED NOW? EVER APPLIED TO THIS COMPANY BEFORE? WHERE WHEN *The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 65 years of age. .

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