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Com Home Phone: Cell Phone: Positions Applied for: Salary Desired: Hours Available to Work: Monday Tuesday Wednesday Thursday Friday Saterday Sunday Full-Time part-time Full or part-time When available to begin work? Education Type of School Name of School and Complete Mailing Address No. Years Completed Major or Degree High School College Bus. or Trade School Professional School Other Have you ever been convicted of a crime: If yes, please explain Do you have a drivers license? yes.

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