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NEW EMPLOYEE APPLICATION - ROCS Staffing

Full Name Last First MIAddress Street Apt # City State Zip Phone # Home Mobile Email Email School EmailSocial Security # Yes NoAre you a citizen of the United States? Yes NoIf no, are you authorized to work in the Yes NoHave you ever worked for this company?

4 5 POLICIES BENEFITS WAIVER FOR ASSIGNED EMPLOYEES In consideration of my assignment with any ROCS, Inc. and its Cli-ents; I agree that I am solely an employee of ROCS, Inc. for ben-

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