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Employment Application

    Application Information

    Are you a citizen of the United State?*

    If no, are you authorized to work in the U.S.?*

    Have you ever worked for this company?*

    Have you ever been convicted of a felony?*

    If yes, explain*

    If necessary for the job, I'am able to:

    Work overtime?

    Provide a valid driver's license?

    Work the following shifts?


    High School

    Year Graduated From*

    Year Graduated To*

    Did you graduate?*


    Year Graduated From

    Year Graduated To

    Did you graduate?

    Other School

    Year Graduated From

    Year Graduated To

    Did you graduate?


    Please list two professional references.

    Previous Employment

    Military Service

    Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge.

    If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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