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Name
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Mail Address:
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Tell us about yourself
How soon can you start? / /

Are you willing to work the following?
1st Shift   2nd Shift   3rd Shift  
Any Shift   Split Shift  

What type(s) of employment are
you interested in?
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Temporary Full Time Temporary Part Time  
Internship  

Your salary requirements
How much are you willing to travel?

In which languages are you fluent?
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German Japanese French  

Are you legally authorized to work
in the US?
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Have you ever worked for us? Yes   No  
If yes, please indicate company name, location and dates of employment


How did you hear about us?
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