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GENERAL INFORMATION

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Please complete all requested information.

Today's Date

First Name

Last Name

Address

City

Zip Code

Office Phone

Mobile Number

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Position Applying For

Available Date

Minimum Salary

I am at least 18 years old.

I am available to work overtime as needed.

I understand all employers including my current employer may be contacted to verify the information I provide. Little Bugs may contact my current employer prior to any offer of employment.

I acknowledge that an official copy of my transcripts will be required if I am offered employment.

I have previously worked for or applied for a position with Little Bugs either as an employee or through an employment agency.

If yes, please explain when and, if employed, in what capacity:

If yes, state name(s) and where they are located.

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