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If no, do you have the right to remain permanently in the U.S.?
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Position for which you are applying:
Date available for work:(mm/dd/yyyy)
Are you presently employed?
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If yes, where?
Have you ever applied to Sherriff-Goslin before?
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If so, for what position & when?
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Former Employers
(List the last 3 employers, starting with the most recent. Please do not skip any.)
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Date ended: (mm/dd/yyyy)
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Employer Name & Address #3:
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Voluntary Information Sheet Equal Employment Data
Sherriff-Goslin Company is subject to Executive Order 11246, as amended. As such you may help us to comply with the affirmative action and equal opportunity record keeping requirements of these government regulations by providing the information requested below. This information will be kept in a confidential and separate file from your application for employment. Completion of this form is voluntary and your willingness or refusal to provide this information will not affect your status as an applicant or employee.
Race or Ethnic Identification:
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