EMPLOYMENT FORM

FIRST NAME:   M.I.:   LAST NAME:
STREET ADDRESS:
CITY:   STATE:   ZIP CODE:
HOME PHONE:
WORK PHONE:
EMAIL:
WOULD YOU BE INTERESTED IN NOT WORKING DURING THE SUMMER?      YES       NO
WOULD YOU BE INTERESTED IN WORKING LESS THAN 5 DAYS PER WEEK?      YES       NO
ANTICIPATED ANNUAL COMPENSATION:      29k 30k 31k 32k 33k 34k 35k 36k 37k 38k 39k 40k 41k 42k 43k 44k 45k 46k 47k 48k 49k 50k 51k 52k 53k 54k 55k 56k 57k 58k 59k 60k 61k 62k 63k 64k 65k 66k 67k 68k 69k 70k 71k 72k 73k 74k 75k 76k 77k 78k 79k 80k 81k 82k 83k 84k 85k 86k 87k 88k 89k 90k 91k 92k 93k 94k 95k 96k 97k 98k 99k 100k
ARE YOU WILLING TO TRAVEL?      YES       NO
PREFERRED OFFICE LOCATION:      Latham, New York        Manhattan, New York        Gloversville, New York
PASTE YOUR RESUME HERE:

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