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* 1. Please submit your name and email to take our short survey then we will contact you with information about jobs in Republic County Kansas.

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* 2. What is your desired salary?

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* 3. Are you interested in ____ work?

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* 4. Have you received welding, fabrication, or manufacturing training?

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* 5. If you answered yes to Question #4, please list the school/company you received training from, the year of training, and the kind of training you received.

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* 6. I give permission to Republic County companies to contact me about current job opportunities

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