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Email
Phone
Contact Information
Address *
City, State OR Zipcode
Other Telephone Number
Employment Information
Are you 18 or over?
Are you authorized to work in the US?
What is your desired salary?
Position or type of work applying for:
Type of position (Independent contractor, C2C, W2)
Education
What is your highest level of education?
Clearance
Do you currently hold a security clearance? If yes, what type of clearance do you have and when was it issued?
If yes, what type of clearance do you hold? When was it obtained?
Are you able to obtain a security clearance?
Also, may try to confirm whether or not candidate is U.S. Citizen; however, can not ask this question directly.
Voluntary Information - will not be used when considering your employment:
What is your racial or ethnic group?
Gender?
Are you a veteran?
Are you a disabled veteran?
How did you find out about this position?
List the name of a reference, contact information, and number of years known:
Reference 1:
Reference 2:
Reference 3:
Experience:
Previous employer:
Position:
Dates employed:
Duties Performed:
Reason for leaving:
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