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If yes, explain:
If so, when?
If so, where?
1st Shift 2nd Shift 3rd Shift Weekends
Fast Paced Standing Repetitive hand motion Loud Machinery Outdoors Indoors Lift more than 50 lbs. Other / Describe
Issued State —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
If so, for whom?
Dates Employed (Year-Month-Day Example: 1900-12-31):
Reason for Leaving:
# Years Experience
Customer Service Data Entry Word PowerPoint Excel QuickBooks Collating Mail Sorting Receptionist Blue Print Reading Custodian/Janitor Clean Room Material Handler Inventory Software Schematic Drawing Drill Press Electrician Moving Machine Set Up Forklift Certified Forklift Uncertified Packaging Shipping/Receiving Stocking Warehouse Machinist Mechanical Assembly Metal Finishing Electronic Assembly Micrometer Soldering Woodworking Cabinet Making Maintenance Hand Tools Mills/Lathes Staging Pallets General Maintenance Nail Gun Welding, Arc Grounds Keeping/Lawn Welding, Mig Painting Saws Welding, Tig Textiles Welding, Stick Pipe Filter
GED High School Diploma Trade School Associate’s Degree Master’s Degree
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Date (Year-Month-Day Example: 1900-12-31):
a. The boy plays baseball.
b. All baseball players wear hats.
c. The boy wears a hat.
The final statement is:
True False Not Certain
have similar meaning. have contradictory meaning. mean neither the same or opposite.
October January June September May
7 .8 31 .33 2
15 20 25 65 75
Cube Sphere Pyramid Circle
45 Carrots 40 Carrots 18 Carrots 36 Carrots
a. Tome greeted Beth.
b. Beth greeted Dawn.
c. Tom did not greet Dawn.
True False Not Certain