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Address*

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Date Available*

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Desired Salary*

Position Applied For*

Are you a citizen of the United States?*

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If No, are you authorized to work in the U.S.?*

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Have you ever worked for this company?*

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If so, When?*

Have you ever been convicted of a felony?

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If yes, explain*

Education: High School

Did you graduate?

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Education: College

Did you graduate?

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Reason for leaving

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I further certify that I am physically able to complete the work required for the position for which I am applying. I understand that after a personalized training schedule I will begin work under a 30-day probationary period.*

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