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Employment/Job Application

Full Name*

Address*

Email*

Social Security Num.(SSN)*

Date Available*

Desired Pay $ (Hour | Salary)*

Position Applied For*

Employment Desired (Full-Time | Part-Time | Seasonal) *

Are You A U.S. Citizen? (Yes | No)*

If No, Are Allow to Work in the U.S.? (Yes | No)

Have You Ever Worked for This Employer? (Yes | No)*

If Yes, Write the Start and End Dates*

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