Employment Application
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First Name Last Name
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Date of Birth
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DD
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Gender
Address
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City
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State
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Zip Code
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Primary Phone #, Secondary Phone #
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Best time to call
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Email Address
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Check all position you would be applying for
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Commitment
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Education
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Name of School
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Other
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Experience
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Current Employment
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References Info
Need at least three reference with phone #
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How soon can you start?
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Are you willing to take drug test?
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Would you like to participate in a program to stop smoking?
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What are your strengths and weaknesses?
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What are your dreams?
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How can we help you to achieve your dreams?
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Do you know the height of the empire state of building?
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How much should we pay you?
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What is your current pay?
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What is your current benefit package?
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