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* 1. What is your name?

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* 2. Contact information

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* 3. Would you like to work:

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* 4. Have you previously applied to this organization?

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* 5. When would you be able to start if hired?

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* 6. If hired, can you furnish proof you are eligible to work in the United States?

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* 7. Have you ever been convicted of a felony? (A "yes" answer does not disqualify you from employment.)

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* 8. Have you worked for any firm under a different name?

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* 9. If yes to question 7, what was your different name?

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* 10. Please enter your recent work history.

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* 11. Please upload your resume or CV

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* 12. Affidavit:  I certify that all information I have provided in the application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.  I understand that the employer may request an investigative consumer report from a consumer reporting agency.  This report may include information as to my character, reputation, personal characteristics and mode of living obtained from neighbors, friends, former employers, schools, and others.  I understand I have the right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation.  I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations named in this application to provide relevant information and opinions that my be use in making a hiring decision.  I release such persons and organizations from any legal liability in making such statements. I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND AND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.  By clicking agree, it means that I have read, understood, and consent to these statements. 

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