Augie's South Russell

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First Name
Last Name
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Phone
Address
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	Yes No Are you under 18 years of age?
	Yes No Are you a US citizen?
	Yes No Do you have reliable transportation?
Level of work:	Full Time Part Time
Availability:	Mon Tues Weds Thurs Fri Sat Sun
	Yes No Are you able to lift 50 lbs (kitchen positions):
EDUCATION
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High School
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PREVIOUS OR CURRENT EMPLOYER INFORMATION
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