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Application For Employment

INSTRUCTIONS: This application must be filled out completely and submitted to RSCVA - Human Resources Dept. P.O. Box 837 or 4001 S. Virginia St, Reno, NV 89502. Failure to provide complete information may eliminate you from consideration for employment. As an EQUAL OPPORTUNITY EMPLOYER, the RSCVA does not discriminate against applicants or employees because of their age, race, color, religion, national origin, sex, disability, veteran status or any other legally protected status.

All fields marked with * are required.

* First Name:
* Last Name:
* Social Security Number: - -
* Email Address:
* Home Phone Number: - -
Work Phone Number: - -
* Are you 18 years or older? Yes   No
If no, can you furnish proof of age? Yes   No

Residence Address

* Street:
* City:
* State:
* Zip Code:

Mailing Address

(same as residence address)

* Street:
* City:
* State:
* Zip Code:

6 . References
7 . Work Experience
8 . Acknowledgement
9 . Drug Testing

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