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Retail and Customer Service Application

Retail and Customer Service Application

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* 1. Name (first and last)

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* 2. Mailing Address:

Address: *

City/Town: *

State: *

ZIP: *

Email Address:

Phone Number: *

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* 3. Physical Address:

Address: *

City/Town: *

State: *

ZIP/Postal Code: *

Country:

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* 4. Present occupation/year in school

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* 5. First day available for employment:

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* 6. I am interested in working:

Full-Time

Part-Time