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Job Applying for: *
First Name *
Last Name *
Email Address *
Phone Number *
Who referred you?
Address *
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Date you can start *
Desired salary *
Are you related to a current UCS employee? * YesNo
If you are currently employed, may we call your present employer for a reference? * YesNo
Have you applied to this organization before? * YesNo
If so, when? *
Are you legally authorized to work in the United States? * YesNo
Have you been convicted of any crime(other then minor traffic violations) during the last seven years? (A criminal record does not automatically bar employment.) * YesNo
If Yes briefly state circumstances below *
Are you capable of performing, with or without a reasonable accomodation, the essential function of the job or occupation for which you have applied? * YesNo
Do you have a current Drivers License? * YesNo
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