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Your Name:
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Your Address:
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City/ State / Zip code
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Your Phone Number:
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Cellular Phone
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Your E-mail address:
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Your Age:
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Birthday
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Name of School
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School activities
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Occupation
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What kind of skills or
training do you have
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Is there any part of
your background or
work history that you
feel we should be
aware of?
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Please list any Medical
conditions that may
interfere with your duties
at Spooky Stalks. Do you
have any special needs
because of it?
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Do you have any special
talents?
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Comments:
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