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Get Calais Regional Hospital Employment Application 2007-2024

Te of birth if under age 18: Full Middle Name City State Are you eligible to be lawfully employed in the U.S.? ( ) Yes ( ) No Proof of citizenship or immigration status will be required upon employment. Education Circle the highest grade completed: School Attended Message Telephone Number: Zip Telephone Number: Are you willing to work ( ) Full Time (Check all that apply) ( ) Part Time List days you are available to work: Date Available to Start Work: City Zip Email: ( ) Per Diem ( ) S.

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