Registration: Flux Entertainment Inc Shiftboard

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APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
Birthdate
Gender
Shirt Size
Have you ever been convicted of a crime, either a misdemeanor or a felony, excluding traffic violations?
 Yes  No
If you answered YES above, please explain, including charge, date, and disposition. (being convicted of a crime does not necessarily disqualify you from employment)
Please list any applicable experience:
Other Credentials
* Social Security Number
Emergency Contact
* Emergency Contact
* Emergency Contact Phone
* Emergency Contact Relationship

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