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YOUR PERSONAL DETAILS
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First Name:
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Last Name:
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Middle Initial:
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Social Security Number:
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CURRENT ADDRESS
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Street:
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City:
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State:
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Zip Code:
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Day Phone:
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Night Phone:
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Email Address:
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PERMANENT ADDRESS (if different from above)
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Street:
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City:
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State:
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Zip Code:
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Are you at least 18 years of age?
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yes
no
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If no, when were you born? (MM/DD/YYYY)
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Have you ever been employed by Pluto’s?
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yes
no
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If yes, at which location?
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From: (MM/DD/YYYY)
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To: (MM/DD/YYYY)
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Why did you leave?
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Can you show proof of your right to work in the U.S.A?
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yes
no
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ABOUT THE
JOB YOU'RE INTERESTED IN...
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Position you are applying for:
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Date available for employment: (MM/DD/YYYY)
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Salary you want:
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Are you willing to relocate?
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yes
no
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If yes, which three cities or areas would you consider
in order of preference?
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1)
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2)
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3)
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ABOUT PLUTO’S
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Have you ever visited a Pluto’s restaurant?
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yes
no
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If yes, describe your experience:
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Why would you like to work for Pluto’s?
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YOUR BACKGROUND
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HIGH SCHOOL
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Name and City:
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# Years Completed:
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Did you graduate?
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yes
no
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COLLEGE 1
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Name and City:
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# Years Completed:
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Did you graduate?
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yes
no
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Course/Major:
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Degree:
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COLLEGE 2
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Name and City:
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# Years Completed:
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Did you graduate?
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yes
no
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Course/Major:
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Degree:
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GRADUATE SCHOOL
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Name and City:
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# Years Completed:
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Did you graduate?
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yes
no
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Course/Major:
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Degree:
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TECHNICAL SCHOOL
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Name and City:
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# Years Completed:
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Did you graduate?
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yes
no
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Course/Major:
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Degree:
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Describe any specialized training, internships and
skills which would enhance your performance of the job
you’re applying for:
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OTHER IMPORTANT INFORMATION
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How were you referred to us for employment?
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If Other, explain:
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We are open 7 days a week. Do you have any commitments that
could impact your schedule at Pluto’s?
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yes
no
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If yes, explain:
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Have you been convicted of a felony in the past seven (7)
years? (Arrests are not convictions.)
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yes
no
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If yes, list convictions that are a matter of public
record including date, charge, place and action taken:
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YOUR JOB HISTORY
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COMPANY 1 (most recent)
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Name of Company/Employer:
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Street Address:
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City:
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State:
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Zip Code:
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Phone:
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Position You Held:
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Employment Start Date: (MM/DD/YYYY)
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Employment End Date: (MM/DD/YYYY)
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Starting Salary (Annual):
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Starting Bonus:
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Ending Salary:
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Ending Bonus:
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Duties:
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Supervisor's Name:
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Your Reason for Leaving:
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May we contact this employer?
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yes
no
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COMPANY 2
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Name of Company/Employer:
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Street Address:
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City:
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State:
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Zip Code:
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Phone:
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Position You Held:
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Employment Start Date: (MM/DD/YYYY)
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Employment End Date: (MM/DD/YYYY)
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Starting Salary (Annual):
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Starting Bonus:
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Ending Salary:
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Ending Bonus:
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Duties:
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Supervisor's Name:
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Your Reason for Leaving:
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May we contact this employer?
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yes
no
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COMPANY 3
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Name of Company/Employer:
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Street Address:
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City:
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State:
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Zip Code:
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Phone:
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Position You Held:
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Employment Start Date: (MM/DD/YYYY)
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Employment End Date: (MM/DD/YYYY)
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Starting Salary (Annual):
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Starting Bonus:
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Ending Salary:
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Ending Bonus:
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Duties:
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Supervisor's Name:
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Your Reason for Leaving:
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May we contact this employer?
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yes
no
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COMPANY 4
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Name of Company/Employer:
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Street Address:
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City:
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State:
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Zip Code:
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Phone:
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Position You Held:
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Employment Start Date: (MM/DD/YYYY)
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Employment End Date: (MM/DD/YYYY)
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Starting Salary (Annual):
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Starting Bonus:
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Ending Salary:
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Ending Bonus:
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Duties:
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Supervisor's Name:
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Your Reason for Leaving:
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May we contact this employer?
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yes
no
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Have you ever been discharged or asked to resign by an
employer?
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yes
no
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REFERENCES WE MAY CONTACT
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REFERENCE 1
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Type:
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Name:
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Relationship:
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Phone Number:
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Street Address:
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City:
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State:
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Zip:
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REFERENCE 2
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Type:
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Name:
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Relationship:
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Phone Number:
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Street Address:
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City:
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State:
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Zip:
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REFERENCE 3
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Type:
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Name:
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Relationship:
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Phone Number:
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Street Address:
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City:
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State:
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Zip:
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REFERENCE 4
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Type:
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Name:
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Relationship:
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Phone Number:
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Street Address:
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City:
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State:
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Zip:
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REFERENCE 5
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Type:
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Name:
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Relationship:
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Phone Number:
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Street Address:
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City:
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State:
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Zip:
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YOUR COMMENTS
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Please use this space to give us any information not given
above. For example, your career interests, plans, or any
other information that you want us to know in considering
you for a job with Pluto’s.
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ATTACH YOUR RESUME (Optional)
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Please send your resume in a file with the following extensions: .txt, .doc, .pdf
Please name your resume file according to the following format:
FirstName_LastName.xxx
Maximum file size: 2MB
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