PREVIOUS EMPLOYMENT WITH BGC (If any, give dates, position and location.) *
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Social Security Number:
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Driver's License Number:
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Have you ever been convicted of, plead guilty to, and/or plead no contest to a crime (felony or misdemeanor, including but not limited to sexual offender crimes, fraud, drug and/or alcohol-related offenses, assault, etc.)? *
If yes, please explain (Note: Conviction of a crime will not necessarily disqualify you for employment. Each conviction will be judged on its own merit with respect to time and job relatedness.):
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Why do you want to work here? *
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