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* 1. Full Name

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* 2. Address (Street, City, State & ZIP)

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* 3. Cell Phone

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* 4. Email

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* 5. Do you have a driver's license & reliable transportation?

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* 6. Will you submit to a background/fingerprint check?

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* 7. Do you check your cell phone on a regular basis for messages/texts? (This is important in case I need to contact you.)

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* 8. Punctuality and dependability are a big part of this job. Do you agree to give advance notice if you are going to miss a shift, or be late?

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* 9. Professional Reference (Full Name, Phone, Email)

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* 10. Personal Reference (Full Name, Phone, Email)

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