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One Highland Drive Chant, PA 18914 Phone: 2159979959 Fax: 2159971550 PENNSYLVANIA APPLICATION FOR EMPLOYMENT Date Click here to enter a date. Last Name First Middle Position or type of work applied

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To fill out a date, follow these steps: 1. Start by writing the day of the month in numerical format (e.g., 23). 2. Write the name of the month. Make sure to capitalize the first letter (e.g., June). 3. Write the year in four digits (e.g., 2021). 4. If necessary, indicate the time using the appropriate format (e.g., 6:30 PM).

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