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Applicant Information

Education

References

Please list three professional references

Previous Employment

Military Service

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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Medley & Sons Autobody

3203 Midland Blvd.

Ft. Smith, AR 72904

479-782-5276

Mon – Fri 8:00–5:00