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I acknowledge that my application for employment is voluntary; and that the information provided is authentic; therefore, I authorize the company to confirm the information provided in my application. *
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Altia Business Park
Green Valley Industrial Park
Position Applying For:
(Second Option)

Position Applying For:
(Third Option)

Employment desired: Full time Part time *

Can you work at nights?

No Yes *
  Status Name of Institution Title
High School    
Salary expectations: *
Are you currently a student? No Yes*