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                                                    | Please read the following prior to complete your application:
I am applying for employment with your Staffing Agency and I certify that the information I will provide in the application process is accurate, truthful and complete to the best of my knowledge. 
I understand and agree that any FALSE, incomplete or misrepresentation of information discovered before or after a job offer will result in rejection of my application or dismissal at any time during my employment. |  
                                                    | *Your Nearest Office:
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                                                    | *First Name:
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                                                    | Middle Name: |  |  
                                                    | *Last Name:
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