Contact Information
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Requested Information
Are you 18 or Older?	- Choose an Option - Yes No
Date Available:
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Desired Wage:
What position are you applying for?	- Choose an Option - Front Counter Kitchen Mechanic Door Checker Bartender Wait Staff
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Have you ever Worked for this Company?	- Choose an Option - Yes No
Have you ever been convicted of a Felony?	- Choose an Option - Yes No
Are you or have you ever been a sex offender registered with any federal, state or local government agency, including any listing on a public web site?	- Choose an Option - Yes No
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Education History
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Employment History
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