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* 1. Name (As entered in OAKS)

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* 2. State of Ohio OH|ID Workforce User ID

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* 3. Work Schedule: Days of the Week (Check the days of the week you typically work)

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* 4. Work Schedule: Start Time/End Time (Choose the start time and end time you typically work)

  Start Time End Time
Start Time/End Time

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* 5. Email Address

T