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Applicants should exclude information that discloses affiliation of a protected class. Employer Work Performed Dates Employed Reason for Leaving Hourly Rate/Salary beginning/ending Supervisor/Telephone Numbers s May we contact Yes No PROFESSIONAL REFERENCES Include Business/Professional Contacts. I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without consequential omissions and understand that if employed omissions and/or false...
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