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  • TO APPLICANT: We deeply appreciate your interest in our organization. Thank you for taking the time to complete this application. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national orgin. Federal law also prohibits other types of discrimination such as age, citizenship, disability, veteran status, attainment of benefits, and participation in union activities. The laws of most states and many localities also prohibit some or all of the above types of discrimation as well as some additional types including, but not limited to, discrimination based upon ancestry, marital status, parental status, sexual orientation, or source of income. The Fair Credit Reporting Act imposes restrictions with respect to credit data. This list, however, is not exhaustive of the grounds on which discrimination is prohibited.
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  • Personal

  • Referral Source (Please name the source next to the appropriate category)
    (If hired, you are required to submit proof of your eligibility to work in the U.S.A.)
    (If no, hire is subject to verification that you are of minimum legal age.)
    (An answer of "yes" to this question will not necessarily bar employment.)