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    PERSONAL INFORMATION

    Name*
    Address*
    Are you legally authorized to work in the United States?*
    Are you applying for*
    What shift(s) will you work?*
    May we contact present employer?*
    Do you have a valid Driver's License?*

    EMPLOYMENT HISTORY

    Begin with most recent employment
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    Address
    Supervisor's Name

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    Address
    Supervisor's Name

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    Address
    Supervisor's Name

    EDUCATION / TRAINING

    Include Technical / Academic Achievements / Courses
    Have you obtained a high school diploma or GED certificate?*
    List other specific skills you have to offer for this job opening

    REFERENCES

    Give the names of three persons not related to you

    LEGAL

    Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged?*
    Are you currently out on bail, the subject of a current warrant for arrest or released on your own recognizance pending trial?*
    Are you currently on parole?*
    I understand as a condition of employment I may be required to undergo a federal or state background check and/or drug test. If you have misrepresented or omitted any facts on this application and are subsequently hired, you may be discharged from your job. The information on this application is true and accurate to the best of my knowledge.
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