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Get A First Name Basis Employment Application

Apartment/Unit # City State ZIP E-mail Address Social Security No. Phone Date Available Position Applied for Desired Salary Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? Have you ever worked for this company? YES NO If so, when? Have you ever been convicted of a felony? YES NO If yes, explain Availability? ___Full-time ___Part-time ___Days ___Evenings ___Overnights ____ Live-in Please indicate if you ARE willing to work with a cl.

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