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- Age*
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- If you are not a citizen are you documented to work in the U.S.?
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- What positions do you feel qualified to work in:*
- What time of day are you available?*
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- How many days a week can you work?*
- Are you presently working?*
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- Are you a citizen of the United States?*
- If not, do you have the legal right to remain permanently in the United States or have you been granted legal authorization to be employed in the United States?
- Do you have any physical or mental handicap which would prevent you from performing the major job responsibility of the position for which you are applying?*
- Have you ever been convicted of a felony?*
- What days are you available?*
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- Do you have experience with computers?*
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- Should be Empty: