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1425 East St. Germain St. Cloud, MN 56304
Please list your previous three employers with your most recent employment first.
Have you been convicted of a felony within the past seven (7) years?
Have you ever been arrested for assault, theft or crimes against others?
Have you ever been terminated or asked to resign from a position?
Have there been any ethical complaints as a result of your work?
Have you had lawsuits as a result of your professional position?
Have you been accused of sexual harassment by co-workers in any setting?
I, the undersigned, hereby declare that all information provided above is true and complete, and permit The Haven to contact the previously listed sources to release and verify applicant information.
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