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Position Applied for
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.
Have you ever worked for this company?
If yes, when?
Did you graduate?
May we contact your previous supervisor for a reference?
Rank at Discharge
Type of Discharge
If other than honorable, explain
By accepting the terms of this form you agree to these terms for potential employment:
-Must be able to pass a drug test and background screen after offered job.
-As the user who filled out this form, you certify that the answers provided are true and complete to the best of your knowledge.
-If this application leads to employment, you understand that false or misleading information in your application or interview may result in your release.
I agree to and understand the above statements.
Provide us with your resume if available
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