nomelyseeta Coy MerAREZ Phone Slo = *** - AHS tmaiicalmecciez isheth SY¥AOS Hic A/er 2%
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(State) (Zip)
Current Address =
(Street) (City)
'f hired, can you furnish proof you are eligible to work in the U.S.: Wu Ns Are you 18 years of age or older? _Yes_No
Have you ever applied at ARC Thrift Stores before: __ Yes No
Do you have relatives working for the ARC Thrift Stores:__Yes No, if yes, name and store/department:
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Position you are applying for: cya sexyas aisSalary Requirement: 4 GOO When can you start? (AC) Seckined Full Time/Part Time/Temp
Availability: Cork Oo NER HOR He 1 Referred By:
Employment History - List former employers
1) Employer: From(MON/YR)(MON/YR):
Position:
Responsibilities: Last Salary:
2) Employer: ' From(MON/YR\MON/YR): Position:
Responsibilities: Last Salary: Reason for Leaving:
Address: Name of Supervisor: May we contact? Yes / No
3) Employer: From(MON/YR)(MON/YR): Position:
Responsibilities: Last Salary: Reason for Leaving:
Address: Name of Supervisor: May we contact? Yes /No
References
City/State: Years Completed: 5 Deere Course/Major Subject
High School Name:
oe
College: City/State: Years Completed: Degree Course/Major Subject
City/State: Years Completed: Degree Course/Major Subject
Training: