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Email: *

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Position Details

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Date Available:

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Hourly or Salary:

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Employment Eligibility

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Are you legally eligible to work in the U.S.?

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Have you ever been convicted of a felony?**

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Have you ever worked for C&D?*

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*If yes, write start and end dates:

**If yes, please explain:

Education

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High School:

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Previous Employment

Previous Employer 1: *

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Previous Employer 1 Email: *

Dates Employed 1: *

Previous Employer 1 Phone: *

Starting and Ending Pay 1: *

Job Titile 1:

Duties and Responsibilities 1: *

Previous Employer 2:

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Previous Employer 2 Email:

Dates Employed 2:

Previous Employer 2 Phone:

Starting and Ending Pay 2:

Job Titile 2:

Duties and Responsibilities 2:

Additional Employment:

References

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Reference 1 Name:

Reference 1 Company:

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Reference 1 Relationship:

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Reference 2 Name:

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Reference 3 Name:

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