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Personal Information

1) Are you authorized to work in the U.S. for any employer?
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2) Indicate preferred work schedule
3) Are you 18 years old or older? (if under 18,you will be requried to submit working papers if offered employment.)
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4) Do you possess a driver’s license that is valid.
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Education Details

Education History *
Please list all vocational, technical, correspondence schools, colleges and universities you have attended. Upon employment be prepared to provide supporting documentation of schools attended.

Name and Address of School Did you graduate? Major Subject
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Project Information
List all employment starting with present or last position and work back. ONLY when applying for technical positions.

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Code Experience

Code Experience (for technical positions only)

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Professional References *

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2) Maywe contact all employer/supervisors listed?
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3) Are you engaged in any business activity or employment which you plan to continue if employed by AEIS LLC? If yes, your outside employment will be subject to further review regarding conflicts of interest.
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EEo Data

1) Gender *
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2) Race/Ethnicity *
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3) Military Status *
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4) Disability *

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Waiver, signature, date

Application form waiver *
In exchange for the consideration of my job application by AEIS LLC (hereinafter called "the Company"), I agree that:


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