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To Apply, complete the following and Press the Submit Button:

FIRST NAME

LAST NAME

STREET

CITY

STATE

ZIP

Are you at least 18 years old?

If hired, can you provide the documents required to prove that you are authorized to work in the United States?................................................................

Date you could Start

Have you served in the Military?

Have you applied here before? ......

Are you currently employed?

Do you have a NY Drivers License?

Are you patient and flexible? .........

Are you aware that this job is NOT paid under the table"?...................................

Comments / Notes:

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Highest Level Of Education Achieved ...........................

List last four Employers, most recent one first:

EMPLOYMENT        DATES

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EMPLOYER (include location)

SALARY

POSITION HELD & REASON FOR LEAVING

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