| First Name: |
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| Middle Name: |
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| Last Name: |
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| Street Address: |
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| City: |
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| State: |
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| Zip: |
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| Country |
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| Daytime Phone: |
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| Evening Phone: |
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| Are you a legal US Citizen? |
Yes
No |
| Have you ever been convicted of a felony within the
last 7 years? |
Yes
No
If 'yes' please explain:
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| What type of employment are you interested in: |
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**Position requiring the
use of a vehicle or machinery complete the following:
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| Education: |
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| Describe any specialized
training, certifications, apprenticeships or skills: |
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| List all outdoor recreational
activities you are currently involved in: |
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| Employment History: |
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| Personal References: |
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Please enter the security code below to
verify your form submission:
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*required |
| By hitting the submit button below, I
certify that the answers given herein are true and compete to the
best of my knowledge. I authorize Marine City to investigate the
statements contained in this application for employment as may be
necessary in arriving to an employment decision. I understand that
this application is not intended to be a contract of employment. I
also understand that any false and misleading information given in
the application and /or interviews will result in my immediate
discharge. |
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