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Staff Application

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Staff Application
EMPLOYMENT APPLICATION: An equal opportunity employer. Applicable law and company policy prohibits discrimination based on race, religion, color, age, sex, national origin, or physical disability.
Date of birth
Check all days you are willing to work
List the hours you are willing to work on the days you listed above.
Start and end dates, Company name, and phone number
Company Address, Your position, and reason for leaving
Supervisors name, and the last rate of pay
Start and end dates, Company name, and phone number
Company Address, Your position, and reason for leaving
Supervisors name, and the last rate of pay
Name, City, Phone, and Years Known
Name, City, Phone, and Years Known
Name, City, Phone, and Years Known
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