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		 Applicant First & Last Name  | 
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		 List Your Current Permanent Address  | 
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		 Provide Your Primary E-mail Address  | 
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		 Applicant's Home Phone Number  | 
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		 Applicant's Cell Phone Number  | 
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			Enter Today's Date  | 
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		 Prior to being hired, Firethorn will require you to provide your SSN  | 
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		 List the position you are interested in applying for  | 
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		 You will be asked to demonstrate you're physically & mentally able to perform the functions of this job  | 
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			List the date you can begin work  | 
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		 Proof of lawful work status will be required upon employment  | 
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		 Where are you in your education?  | 
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		 Provide a brief description of the degree you're working toward or have completed & the name of the school, dates of degrees, etc  | 
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		 List the Company name, address, phone number & website  | 
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			If you don't know the exact date - pick any day within the month you began working for your current employer  | 
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		 Show as a dollar amount per hour or, in the case of a salaried position, your annual salary  | 
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		 Let us know why you don't want us to contact your existing employer  | 
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		 NOTE: If you checked "No" above, we will NOT contact your current employer  | 
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		 Explain what functions you currently perform  | 
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		 Provide a brief explanation of why you are seeking employment with Firethorn  | 
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		 Provide the name, address, phone # & website of your second most recent employer  | 
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		 Show as a dollar amount per hour or, in the case of a salaried position, your annual salary  | 
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			If you don't know the exact date - pick any day within the month you began working for this employer  | 
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			If you don't know the exact date - pick any day within the month your left employment with this employer  | 
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		 Briefly describe the functions you performed for this employer  | 
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		 Include only individuals familiar with your work ability. Do NOT include relatives  | 
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		 Include only individuals familiar with your work ability. Do NOT include relatives  | 
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		 If you have special skills or designations that may set you apart from other applicants, please list them here  | 
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