Von Braun Center
Application for Part-Time Employment
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Email *
Last Name *
First Name *
Middle initial *
Address *
City *
State *
Zip *
Permanent Address (if same as above,  write "same")
Telephone *
Are you 18 years of age or older? *
Are you legally eligible for employment in the U.S.? *
Have you ever been convicted of a felony? *
Can you work any shift? *
Can you work weekends? *
For which position are you applying? *
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