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State
Are you a citizen of the United States?
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Yes
No
If not, are you legally allowed to work in the United States?
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Yes
No
Type of employment desired:
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Full-Time
Part-Time
Temporary
Seasonal
Have you ever been convicted of a felony?
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Yes
No
If yes, provide dates and details
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Summarize Your Special Skills and Qualifications
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Select Position
Previous Employment
Start Date
End Date
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Responsibilities
Reason For Leaving
Start Date
End Date
Reason For Leaving
Responsibilities
Start Date
End Date
Reason For Leaving
Responsibilities
By submitting this electronic application, I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
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