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DALE E. PERCY, INC. APPLICATION FOR EMPLOYMENT

Dale E. Percy, Inc. is an equal opportunity employer that does not discriminate in hiring on the basis of race, religion, color, sex, age, national origin, veteran status, disability, or sexual orientation. No information on this application will be used for such discrimination.
Last Name*
First Name*
Middle Initial

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Are you 18 years old or older?*

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How were you referred to us?

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Are you a U.S. Citizen?*

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Do you hold a valid Driverʼs Licence?*

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Education Background

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