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Get OK DHS 11PE012E (P-12) 2010

Tle Employer and location Began (mm/dd/yy) Ended (mm/dd/yy) Did you supervise any employees? Yes No Average hours per week Ending salary Reason for leaving Description of duties Supervisor's name, title, and contact number Did you supervise any employees? Yes No Check all of the following that apply: Are you seeking part-time employment? Yes No Are you seeking temporary appointment (less than six months)? Yes No If applying for positions in residential facilities, shelters, or gro.

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