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General Information
Special Skills?
Special Training?
U.S. Military Service?
Discharge Rank?
Present Membership in National Guard or Reserves?
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No
Yes
Date your Obligation Ends?
Special Information
Citizen of the United States?
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No
Yes
Do you speak any foreign languages?
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No
Yes
Which?
Have you ever been seriously injured?
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No
Yes
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No
Yes
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Are you employed now?
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Yes
If so, may we inquire of your present employer?
No
Yes
Ever applied to this company before?
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Yes
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When?
Who referred you to this company?
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