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  • EMPLOYMENT APPLICATION

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  • If not, your employment will be subject to verification that you meet state/federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit.

  • Employment History-Starting with most recent

  • Employment Dates (month and year)

  • Employment Dates (month and year)

  • Employment Dates (month and year)

  • Employment Dates (month and year)

  • References (List individuals familiar with your job qualifications (no relatives or personal friends)

  • Please Read Carefully Before Signing This Form

    1. I certify that all of the information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.

    2. I authorize the verification of any or all information that is listed above.

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