First Name - Anna, Surname - Jones, Address - 321 Main St., City - Brandon, Province - MB, Phone number - 789-456-3210, Email - ajones@email.mb, Are you legally eligible to work in Canada? - Yes, I have a work permit, Postal Code - R5T6K9, Position Applied For - Sales Clerk, Full-time - minimum 30 hours a week, Part-time - less than 30 hours a week, Availability - the days and hours you can work, References - a supervisor/manager at your former jobs, Reason for Leaving - why you left that job, Main Duties - preparing salads and cleaning kitchen, I acknowledge that this information is true and accurate - everything on the form is true and honest,

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