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Pre-Employment Questionnaire - HSI is an Equal Opportunity Employer

Personal Information:

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Employment Desired

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Education History

Grammar School:

High School:

College:

Trade, Business or Correspondence School:

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General Information

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Former Employers (List below last 4 employers starting with most recent)

Employer 1:

Employer 2:

Employer 3:

Employer 4:

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Please Provide 3 References

Reference 1:

Reference 2:

Reference 3:

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Other pertinent information: