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* 1. First and Last Name:

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* 2. Phone Number:

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* 3. Email:

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* 4. Have you completed the following level of education: High school or equivalent?

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* 5. What town do you live in?

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* 6. Do you have a Driver's License and a Reliable Vehicle?

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* 7. Are you willing to undergo a background check and drug screen, in accordance with local law/regulations

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* 8. Are you available to work Full-Time, Monday - Friday, 8:00 am to 5:00 pm?

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* 9. Paste Your Resume or Work History Here (do not leave blank):

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* 10. Tell us a little about yourself.  Why should we consider you?

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