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* 1. Name

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* 2. Phone Number

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* 3. Which location/area are you interested in working at?

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* 4. How many hours are you interested in?

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* 5. Select hours that you can work or describe them in "other".

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* 6. What jobs interest you?

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* 7. Why would you like to apply to Russ'?  

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* 8. What jobs or schooling have you had in the past?

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