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Personal Information

Yes No Do you have a license to drive?

Yes No Driving record in the past three years?

Yes No Are you legally eligible for employment in the US?

Yes No Are you legal age to work?

Education

Graduate School

Yes No Did you graduate?

Degree Diploma Did you receive a degree or diploma?

College

Yes No Did you graduate?

Degree Diploma Did you receive a degree or diploma?

Highschool

Yes No Did you graduate?

Degree Diploma Did you receive a degree or diploma?

References

Reference

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Employment History

Employer

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It is the policy of the Youth Homes of Mid-America to base all personnel actions in an equal manner, regardless of race, religion, color, sex, national origin, physical or mental disability, age, creed, or political affiliation. This policy shall apply but is not limited to the following: job application procedures, hiring or discharge, compensation, advancement, transfer, training or any other term or condition of employment.