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We're Hiring
Last Name
First Name
Middle Initial
Date
Street Address
Apartment/Unit
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Phone
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Date Available
Desired Salary
Position Applied for
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Employment Type
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Availability (Start-End per day)
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Are you a Citizen of the United States?
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No
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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No
If yes, when?
Have you ever been convicted of a felony?
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No
If yes, explain
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