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- Today's Date
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Format: 000-000-0000.
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- Drug Screening*
- I approve Ballard Water Well running my Background Check*
- Do you have reliable transportation to arrive to work daily and on time?*
- Are you a citizen of the United States?*
- Do you have a current Drivers License?*
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- Drivers License Expiration Date*
- Date of Birth*
- Requested Start Date*
- Desired Position-check all that apply*
- Requested Pay ($ Hourly)*
- Have you previously worked for Ballard Water Well?*
- Have you ever been convicted of a felony?*
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- Certify Answers are True*
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- Should be Empty: