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I understand and agree that any misrepresentation by me in this application or any false statements in this application will be cause for immediate dismissal should I be employed. Signature DO NOT WRITE BELOW THIS LINE Date Hire Shift Job Title Dept. Please attach current resume if available. Employers Name and Address Your Position Wages/Salary Date Started Left Reason for Leaving Dates of service From To Special Training received Member of any Military Reserves No Have you ever had a...
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