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Format: (000) 000-0000.
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- Best Contact*
- Are you at least 18 years old or older?*
- Are you legally eligible for employment in this country?*
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- *
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- Have you completed high school?*
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- Are you presently a member in good standings?*
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- Start Date:*
- End Date (if still employed here leave blank)
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Format: (000) 000-0000.
- Employment Status:*
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- Start Date:*
- End Date:*
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Format: (000) 000-0000.
- Employment Status*
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- Start Date:
- End Date:
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Format: (000) 000-0000.
- Employment Status:
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- Date Signed:*
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- Have you ever been convicted of a crime or violation other than a minor traffic infraction?
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- Have you ever been subject to disciplinary action, suspended, terminated or asked to leave a job orvolunteer position by an employer or non-profit organization on the grounds that you engaged in child sexual abuse or neglect, or other unlawful behavior, or on the grounds that you violate an employer’s sexualmisconduct or harassment policy?*
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- Date Signed:*
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- Should be Empty: