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EMPLOYMENT INFORMATION FORM Date:_______________ Employer_________________________ Address__________________________ City_____________________________ State____________________________ Zip______________________________ Telephone:_________________ Nature of business______________________________________________ Position to be filled___________________________________________ Employee qualifications_________________________________________ Number of employees needed______________________________________ Wages or salary $________________ per __________________________ Employment is _____temporary ______permanent Hours ________ to _______ Days ___________ to __________ Benefits________________________________________________________ We are an equal opportunity employer.
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4/10/2008
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