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Free to Live Employment Application
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Email *
Name (Last, First, Middle):
Present Address:
City, State, Zip:
Permanent Address:
City, State, Zip:
Are you over the age of 18:
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Contact number:
I am interested in applying for:
Date available:
Salary desired:
Describe work you consider yourself best qualified for:
Are you currently employed?
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If so, may we contact your current employer?
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Are you legally authorized to work in the United States?
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Do you have any relatives currently working for Free to Live?
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What type of hours are you available to work?
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Are you on lay-off and subject to recall?
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Please summarize special skills and qualifications acquired from education, employment, or other experience:
Please provide the names and contact information of three persons (do not include relatives or former employers), whom you have known at least one year:
Please list your last three employers, starting with the most recent:
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