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    By completing this form, you agree to submit this personal information via email to Wallace Electric for the purpose of applying for employment.

    LIST EMPLOYMENT HISTORY: At least three current/previous employers:
    What is your highest education level? Choose one:
    Give three references:
    **Disclaimer and Signature: I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release.
    Attach resume if desired: (3mb or less):
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