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Yes No Have you ever worked for this company?(Required) Yes No If yes, when? Have you ever been convicted of a felony?(Required) Yes No If yes, explain? Please share your testimony of becoming a ChristianWe are interested in understanding your personal faith journey and how it has shaped your life and values. Feel free to include any significant moments, experiences, or influences that have been pivotal in your spiritual development.(Required)Please share why you believe you would be a good candidate for Selah Life Choices.(Required)EducationHigh School(Required) Address(Required) From(Required) To(Required) Did you graduate?(Required) Yes No Diploma(Required) College Address From To Did you graduate? Yes No Degree Other Address From To Did you graduate? Yes No Degree ReferencesPlease list three professional references.Name(Required) First Last Relationship(Required) Company(Required) Phone(Required) Address(Required) Email(Required) Name(Required) First Last Relationship(Required) Company(Required) Phone(Required) Address(Required) Email(Required) Name(Required) First Last Relationship(Required) Company(Required) Phone(Required) Address(Required) Email(Required) Previous EmploymentCompany(Required) Phone(Required) Address(Required) Supervisor(Required) Job Title(Required) From(Required) To(Required) Responsibilities(Required) May we contact your previous supervisor for a reference?(Required) Yes No Company Phone Address Supervisor Job Title From To Responsibilities May we contact your previous supervisor for a reference? Yes No Company Phone Address Supervisor Job Title From To Responsibilities May we contact your previous supervisor for a reference? Yes No Military ServiceBranch From To Rank at discharge Type of discharge If other than honorable, explain Disclaimer and SignatureI 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. And that there will be a statement of beliefs, background check and drug screeening required.Signature(Required) Date(Required) MM slash DD slash YYYY Upload Resume: (optional)Max. file size: 50 MB.Anti-spam check:CommentsThis field is for validation purposes and should be left unchanged.