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APPLIAAPPPLICLLICICA A TIONFORFORFOR EMPL …

APPLICAAPPLICAAPPLICAAPPLICAAPPLICATIONT IONTIONTIONTION FORFORFORFORFOR EMPLEMPLEMPLEMPLEMPLOOOOOYMENTYMENTYMENT YMENTYMENTThe Company is an equal opportunity em-ployer. Prospective employees will receiveconsideration without discrimination be-cause of race, creed, color, sex, age, na-tional origin, mental or physical disability,medical condition, marital status, militaryservice, sexual orientation, or any otherbasis protected by NameFirstMiddleDateStreet AddressHome TelephoneCity, State, ZipBusiness TelephoneHave you ever applied for employment with us?Social Security # Yes NoPosition DesiredPay ExpectedAre you available for full-time work?Will you work overtime if asked? Yes No YesNo If not, what hours can you work?

APPLIAAPPPLICLLICICA A TIONFORFORFOR EMPL O YYMYYMENYMENMENTENT TheCompanyisanequalopportunity em-ployer. Prospectiveemployeeswill receive consideration without discrimination be-

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