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First Name
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Date available for work
Desired pay rate
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Supervisor's Name
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Have you ever been convicted of a felony or misdemeanor offence?
Are you legally eligible for employment in the United States of America?
I certify that the information I have provided in this employment application is accurate and has been completed the best of my knowledge and ability. I understand that any falsification, misrepresentation or omission in my interview or any other employment record, may be sufficient reason not to hire me or may be reason for dismissal.
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