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Moravian Manor is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, ancestry, color, religious creed, age, sex, sexual orientation, national origin, handicaps or disabilities, and will make reasonable accommodations for disability during application and employment.
PERSONAL INFORMATION
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State name and department of any relatives,
including spouse already employed by
Moravian Manor:

Referred by:

Are you under 17? Yes  No

Are you a citizen or national of the
U.S., an alien lawfully admitted to
permanent residence or an alien
authorized to work in the U.S.?
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EMPLOYMENT DESIRED
Position Desired

In Order of Preference

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Shift Desired
Number in order of preference

Day Evening
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Part-time
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Desired Start Date

Desired Wage



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Are you Employed Now?  Yes  No

If yes, may we contact your present employer?  Yes  No

Have you ever applied or been employed by Moravian Manor before?  Yes  No

If yes, date of application If yes, dates of employment