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First Name
Email
Address
Are You Leagally Eligible for Emplyment in the USA
Yes
No
Desired Hours Each Week
Last Name
Phone
Birthday
Are you abl to perform the essential functions of the position
Yes
No
Are you able to work overtime?
Yes
No
When are you able to Start?
Monday Availablity?
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Tuesday Availablity?
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Sunday Availablity?
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