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Application information

Last Name *

First Name *

M.I. *

Street Address *

Apartment/Unit # *

City *

State *

Zip *

Phone (numbers only) *

Email Address *

Date Available

Social Security No (numbers only)

Desired Salary

Positional Applied for

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you ever worked for SCDC before?

If so, when?

Have you ever been convicted of a felony?

If Yes, explain