Thank you for your interest in employment with Lane Printing & Advertising. Please fill out the following information:

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Date Available:	Yes No
Have you worked for Lane Print before?	Yes No
Have you applied to Lane Print before?	Yes No
Do you have a relative working at Lane?	Yes No
Are you currently employed?	Yes No
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Will you take a physical exam?	Yes No
Will you take a drug test?	Yes No
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