Advantage Health Care Staffing
Employment Application.

Please fill out the following information.
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电子邮件地址 *
First Name *
Middle Initial
Last Name *
Address *
Phone Number *
Date Available *
年
/
月
/
日
Desired Salary
Position Applying For
Are you a Citizen of the United States: *
 If no, are you authorized to work in the U.S.?
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Have you ever worked for this Company?
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If yes, when
Have you ever been convicted of a felony?
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If yes, explain
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