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Upstate Kings & Queens
In-Home Care, LLC
Application for Employment
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Last Name
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Your answer
First Name
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Your answer
Middle Initial
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Your answer
Street/Mailing Address
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Your answer
City
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State
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Your answer
Zip Code
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Your answer
What is your phone number?
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Your answer
Email Address:
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Your answer
What position are you applying for?
Your answer
What date are you available to start working?
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What is your desired salary?
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Are you 18 years of age or older?
*
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No
Are you legally authorized to work in the United States?
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No
Have you ever worked for this company?
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No
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