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STAFF APPLICATION

Peace Academy

Name (Print Clearly)*

Date Available for Employment*

Social Security Number

Phone*

Current Address*

Permanent Address

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(If no, employment is subject to verification)

Name*

Phone*

Address

Position Applied For*

Specify Expected Pay $ / hr Or / year

Working Hours*

Full Time

Part Time

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4620 S. Irvington Ave.

Tulsa, OK 74135

918.627.1040

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