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Self -Reliance

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All applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or disability Position(s) applied for: Rate of pay expected $ per hour, $ per week, or $ per year. PERSONAL Name Last _________________ First________________________ Middle________________ Street Address

Self-Reliance policy requires that a criminal background check be completed on all employees, interns, volunteers, or temporary employees. A criminal history background check will be requested and the organization will not hire an individual, provide employment, or provide an internship,

  Self, Reliance, Self reliance

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