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* Personal information:

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* Are you authorized to work lawfully in the United States?
(If offered employment, you will be required to provide documentation to verify eligibility.)

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* Will you now or in the future require sponsorship for employment visa status?
(e.g., H-1b visa status)?

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* Are you at least 18 years of age?
(If no, you may be required to provide authorization to work.)

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* Position desired:

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* Potential start date:

Date

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* Hourly rate/salary desired:

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* Are you currently employed?

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* If yes, may we contact your present employer?

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* How did you hear about us/this position?

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* If job posting, please indicate specific website:

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* Have you ever worked for NCCD before?

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* Do you know anyone who works for NCCD?

 

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