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Preferred work location: Select Preferred Location: Edmond Moore New Castle Norman Oklahoma City Piedmont Stillwater Yukon/Mustang Please select a valid item. Please select an item.

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Agency Referred School Special Program Walk-in Was Recruited
Employee Referral Advertising Source Other
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List all previous experience within the last five years, beginning with your most recent position. List "N/A" as the position if it does not apply.

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Other Experience: Please do not identify non job-related organizations catering specifically to women, minorities, people with disabilities, or individuals with particular religious or ethnic backgrounds.
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List professional or trade organizations in which you are a member:
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Typing Words Per Minute: wpm.
Data Entry Net Strokes Per Minute: net spm.

Computer Competencies (list familiar software and hardware):

Other Computer Skills:

Do you have a valid driver's license: Select Yes or No Yes No Please select a valid item. Please select an item.

If yes, what is your driver's license number? State:

Have you had any traffic violations (other than parking tickets) within the past 3 years? Select Yes or No Yes No Please select a valid item. Please select an item.

Violation: Violation Date (mo. & yr.):

Have you ever been convicted of a criminal offense? Select Yes or No Yes No Please select a valid item. Please select an item.

If yes, please explain:

Have you ever plead guilty or "no contest" (nolo contendere) to a felony charge? Select Yes or No Yes No Please select a valid item. Please select an item.

If yes, what sentence did you receive?

Having a criminal offense will not automatically disqualify you from employment.

DO NOT include ROTC

Branch of Service: Occupational Specialization:

Dates of Service (from) (to)

Grade/Rank at Discharge:

Special/Technical Training:

As a candidate, you agree to and understand the following:

1. All personally identifiable information will be held in confidence and properly safeguarded, and the use of such information will be limited to valid business or legal requirements.
2. This company has a policy prohibiting the use of illegal drugs.  A drug urinalysis test is required prior to employment.  By signing this application, you indicate your awareness that in accordance with this policy, a positive test result may be sufficient to disqualify you for employment or, if employed, may result in your dismissal.
3. You must meet minimum age requirements of applicable laws.
4. This company may conduct investigation, including verification of prior employment history and education.  By signing this application, you authorize this company or its agents to make these investigations, and you indicate your awareness that false statements or failure to disclose information may be sufficient to disqualify you for employment or, if employed, may result in your dismissal.
5. If a job offer is made, you will be required by the Immigration Reform and Control Act of 1986 to verify your identity and eligibility to work in the United States.
6. This company adheres to state and local regulation regarding clean air in the work place and reserves the right to restrict smoking in company-owned or -leased buildings.
7. This company is an at-will employer.  Neither this document nor any other is intended to be a contract of employment.
8. In addition to this application, there are certain other documents that the company will require you to sign as a condition of employment.  Failure to sign may result in your dismissal.

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Please provide your electronic-signature and the date below to indicate that you agree to and understand all of the information contained in this application.

Furthermore, your electronic-signature indicates that you understand that this application will remain active for 12 months from the date below.  Following that date, a new application must be completed to assure consideration for a position.

By typing your name and the date below, you are signing this document. This electronic signature is no different than if you were to physically sign a paper application in person.

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Please attach a personal resumé if you would like:

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