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Position

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Position Applying For

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Previous Employer #1

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I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I herby release employers, schools or individuals from all liability when responding to inquiries with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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