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APPLICATION FOR EMPLOYMENT: Name: Present Address: Phone #: Referred by: Are you 18 Years of Age or Older? Position Desired: Are you employed now: Date you can start: Salary desired: Are you employed now? May we Inquire your present employer? Have you ever applied to our company before? When? EDUCATION: High School: Last year completed: College: Last year completed: Trade, Business or Other School: Job Related Skills: Activities (other than religious) FORMER EMPLOYERS: Name and Address of Employer: From/To: Salary: Position: Reason For Leaving: Name and Address of Employer: From/To: Salary: Position: Reason For Leaving: Name and Address of Employer: From/To: Salary: Position: Reason For Leaving: Name and Address of Employer: From/To: Salary: Position: Reason For Leaving: REFERENCES 1 2 3