hpretz@epix.net
Employment
*
indicates required fields
*
Date:
*
Name:
*
Address:
*
Are you legally eligible for employment in the U.S:
yes
no
*
Are you legal age to work?:
yes
no
*
Position(s) applied for:
electrician
helper
other
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Where you previously employed here?:
yes
no
What date can you start?:
List any special skills:
*
Education:
*
Last employment:
*
List licenses:
*
Have you signed any noncompete agreements?:
yes
no
Email address:
*
Phone number:
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