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(716) 688-0402

9200 Transit Road (Behind Gerber Collision)

East Amherst, NY 14051

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Permanent Address

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Phone Number:

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Do you have the legal right to live and work in the U.S.?

Yes

Have you ever applied to this organization before?

Yes

Have you ever been employed by this organization before?

Yes

Position(s) Desired or Area of Interests:

Service Technician

Customer Service Representative

Date Available:

Full or Part Time?

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Part Time

Do you have reliable transportation to get to work?

Yes

References:

Reference Occupation:

Years Known:

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Employment History:

Company Address:

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Dates Employed Start:

Dates Employed End

Job Title:

Description of Duties:

Reason for Leaving:

May we contact this employer?

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I agree to a Drug Screening at the company's expense:

Yes

I agree to a Criminal Background Check at the company's expense:

Yes

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(716) 688-0402

Our Address

9200 Transit Road (Behind Gerber Collision)

East Amherst, NY 14051

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