General Information

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* 1. Name:

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* 2. What is your street address?

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* 3. In what city do you live?

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* 5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 6. E-mail Address:

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* 7. Phone Number:

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* 8. Which position are you applying for?

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* 9. What is your salary expectation?

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* 10. How did you hear about this position?

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* 11. Have you ever applied for a job here before?

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* 12. Have you ever been employed by BCDG or any of its' subsidiaries?

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* 13. How soon will you be available for employment?

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* 14. Are you legally eligible to work in the U.S.A?

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* 15. Are you 18 years of age or older?

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* 16. Have you ever been convicted of a felony?

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