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2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
13. Email Address
15. Position Desired
16. Will you accept Full-time

    1. Yes
    2. No
17. Will you accept Part-time

    1. Yes
    2. No
18. Will you work Overtime if asked

    1. Yes
    2. No
20. Date available to start
22. Are you legally authorized to work in the U.S.?

    1. Yes
    2. No
23. Have you been convicted of a crime in the past 10 years, excluding misdemeanors?

    1. Yes
    2. No
24. If you answered yes, please explain circumstances.
26. Have you ever been employed by the Town before

    1. Yes
    2. No
28. Attach Resume
30. Company Name
32. Address
34. City
35. State
37. Position
38. Emplyoment Dates
40. Describe Duites
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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

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