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*type of employment applied for; | *type of employment applied for; | ||
*date of the application or contact; | *date of the application or contact; | ||
*results of | *results of application. | ||
Potential employers need not sign the statement or record. They, however, may be contacted by the Commission to confirm the facts reported. If the form is not returned, disentitlement may follow. | Potential employers need not sign the statement or record. They, however, may be contacted by the Commission to confirm the facts reported. If the form is not returned, disentitlement may follow. |
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