933 Fillmore Fredonia, Kansas 66736 620-378-2046
Date: 10/11/2024
Application for Employment
Federal and state law prohibits discrimination in employment practices on account of race, color, religion, creed, national origin, ancestry, age, marital status, veteran status, non-job related disability or any other protected group status.
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Job Interest
Position Desired:
  (If part time, hours wanted)
Wages or Salary Desired: $
Per:
Other positions for which you are qualified:
Date you are available to begin working:
Were you previously employed by our company?:
Reason for leaving:
Education
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Skills
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Word Processing:
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References
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Other Job Related Information
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