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Dry Clean Xpress Employment Application

Full Name (*)
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 Last Four Digits of Social Security (*)
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Present Address:
Street (*)
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 City (*)
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State (*)
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 Zip Code (*)
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Primary Phone (*)
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 Alternate Phone
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Best time to call? (*)
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 Email Address (*)
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Will you now or in the future require sponsorship for employment visa status? (*)
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If yes, please explain
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Employment History:
Company Name (*)
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Start Date (*)
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 End Date (*)
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Reason For Leaving (*)
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 Position Held (*)
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Describe your work
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Company Name (*)
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Start Date (*)
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 End Date (*)
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Reason For Leaving (*)
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 Position Held (*)
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Describe your work
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Education Details:
Name of High School (*)
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 Did you Graduate from HS? (*)
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Name of College
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 Vocational or Business
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Check Area(s) in which you are skilled? (*)
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Work References: Please do not use Personal References
Name (*)
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 Phone (*)
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Email Address (*)
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Address
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Years Acquainted (*)
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 Type of Relation (*)
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Name (*)
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 Phone (*)
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Email Address (*)
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Address
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Years Acquainted (*)
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 Type of Relation (*)
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Name (*)
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 Phone (*)
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Email Address (*)
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Address
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Years Acquainted (*)
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 Type of Relation (*)
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