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* 1. Please state your first and last name.

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* 2. Please provide your email address.

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* 3. Please provide your telephone number.

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* 4. Where do you currently reside - city and state?

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* 5. What is your current employment status?

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* 6. What is your availability to start a new contract?

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* 7. Have you EVER been convicted of felony, misdemeanor or are either pending at this time?

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* 8. Are you open to short-term contract roles?

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* 9. Which one best describes your employment eligibility?

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* 10. Which best describes your mode of transportation?

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* 11. If offered this role, do you accept the pay rate?

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* 12. Have you ever been employed by Dominion (permanent/temporary/contractor)?

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* 13. Are there any other agencies presenting you for roles with Dominion?

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* 14. Can we call you at anytime during the business day?

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