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Employment Application
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Last Name
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Desired position
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I acknowledge that I may be subject to a random drug screening as part of my employment or as part of a post-work incident or accident investigation.
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Are you a veteran of military service?
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Are you prevented from lawfully becoming employed in this country because of Visa or immigration status? (Proof of citizenship or immigration status will be required upon employment)
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Are you capable of performing in a reasonable manner the activities involved in the job for which you are applying?
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Do you have a Pennsylvania driver's license?
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Do you have legal right to work in the United States?
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Do you have any existing medical issues which would prevent you from fully completing the requirements of the position?
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Would you sign a waiver stating the previous medical condition existed at your hire date and this employer would not be responsible for previously reported medical conditions?
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Do you have a dependable means of transportation to work?
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