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* 1. Name:

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* 2. Industry you are seeking work in:

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* 3. Do you have previous experience in the above selected industries:

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* 4. Contact information:

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* 5. What is your availability:

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* 6. By electronically signing below and submitting this survey, you agree to allow the Ord Area Chamber of Commerce to share the above information with area businesses who are seeking job applicants.  The Ord Area Chamber of Commerce is not responsible for any correspondence between the individual seeking employment and area businesses, other than sharing of the above information.  

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