SPECIAL SKILLS: List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organziations/teams, etc.
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Address
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Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)
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Yes
No
Name:
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Thank you for contacting us! If needed, you will hear back within 48-72 hours.
REFERENCES: Please list three professional references not related to you, with full name, address, phone number.
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WORK HISTORY: Start with your present or most recent employment and work back. Include your position and dates of employment.
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QUALIFICATIONS: Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
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Phone
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Do you have a High School Dipoloma or GED?
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Yes
No
221 East Bellville Street • Marion, KY 42064
Phone: 270-965-2239
Monday - Friday 8:30AM - 5:00PM
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