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Days Available to Work?
Are you over 21?


Did you graduate?


Personal References

Important Information

Do you have a valid driver's license?
Have you ever been convicted of a felony?
Do you have reliable transportation?

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired.

I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information.

1004 E 4th St, Tulsa, OK 74120

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