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If employed, you will be required to
furnish information on age, citizenship clearance through the Department
of Justice, freedom from communicable disease, and right to work in this
country if applicable.
I certify that all statements made hereon
are true and correct to the best of my knowledge. I understand that any
false statements made on this application may be cause for non-employment
or for dismissal if employed.
I hereby authorize any investigation
to obtain information required by this application.
AN EQUAL OPPORTUNITY EMPLOYER
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