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Home at Last of Brevard

2475 Palm Bay Rd. NE #225

Palm Bay, FL 32905

France

(321) 327-3573

Careers

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GENERAL Special Training

FORMER EMPLOYERS

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List below last three employers stating with the most recent or current

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Previous employment number 2

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Authorization “I certify that the facts contained in this application are true and complete to the best of my knowledge and understanding that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and also authorize the references and employers listed above to give you and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. In addition, I release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into and agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.”

PERSONAL REFERENCE (1)

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PERSONAL REFERENCE (2)

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PERSONAL REFERENCE (3)

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Home at Last of Brevard

2475 Palm Bay Rd. NE #225

Palm Bay, FL 32905

France

(321) 327-3573