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Alary Position Applied for Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? Have you ever worked for this company? YES NO If so, when? Have you ever been convicted of a felony? YES NO If yes, explain EDUCATION High School From Address To Did you graduate? College From NO Degree NO Degree NO Degree Address To Did you graduate? Other From YES YES Address To Did you graduate? YES REFERENCES Please list three professional re.

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