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Liverpool NY 13090 Phone 315 622 4815 Fax 315 622 4885 Bascol Form
Signature of Applicant Date We consider all applicants for all positions without regard to race color religion creed gender national origin age disability marital or veteran status sexual orientation arrest or conviction or any other legally protected status. Staff Exclusion List Check Form Complete Criminal Review History form prior to my first day of work. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any...
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