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EMPLOYMENT APPLICATION

Applicant Information

Are you a citizen of the United States?
Have you ever worked for this company?
Have you ever been convicted of a felony?
If not, are you authorized to work in the U.S.?

Education

Did you graduate?
Did you graduate?

References

Please provide at least 3 professional references.

References

Previous Employment

May we contact your previous employer for a reference?
May we contact your previous employer for a reference?
May we contact your previous employer for a reference?

References

Military Service

Have you ever served in the U.S. Armed Forces?

If you answered "No" please move on to last section.

Resume

Please upload your resume here.

Military Service

Upload File

Acknowledgement

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Thank you for your interest. We will be in touch!

Centre Fairfield pour les handicaps et la paralysie cérébrale

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Language Assistance: Call 740-653-5501 to request a translator.

681 East 6th Ave. Lancaster, OH | Main Phone: 740-653-5501 | Transportation: 740-653-1186 | Fax: 740-653-6046
 

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FCI is a United Way Community Partner Agency.

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