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    All fields marked with an * are required to be filled in.

    YesNo

    YesNo

    Full timePart timeSummer Only

    Availability: List approximate times available next to each day.(ex. Monday: 3 pm to 10 pm)

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    List below last three employers: (in most recent order):

    Employer 1

    Employer 2

    Employer 3

    YesNo

    Education (High School):

    Education (College):

    Education (Trade, Business School):

    This application of employment is not intended to be a contract of employment.