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Minnesota wages and tax withheld from W2s other than from W2G If you have more than ve W2s complete line 5 on the back A B. BY SIGNING YOU GIVE UP YOUR RIGHT TO RECOVER ANY COMPENSATION FOR ANY PERSONAL INJURIES DAMAGE TO YOUR PROPERTY OR FOR YOUR DEATH ARISING OUT OF YOUR USE OF VERTICAL 19256573595734715736157526657359573475734718657347573472573477657347686565734757355 Party Host Host ess Merchandise Arcade Food Concessions Park Services Janitorial Petting Zoo Guest Relations Front Desk Stage Theater Ride Operator must be 18 1 2 3 AFTER listing your job preferences you can select Any department to inc REPAIR FORM Company Name If Applicable First Name Last Name Address street address preferred City City State Zip Code Country Telephone Email Address Items being repaired Item Item Descripti e Master 1 Master A Utility Security Master etc You may refer to the lock report provided to your department by Lock Key Services for the correct key designation Building PLEASE DO NOT WRITE IN THIS SPACE Department Authorization Signature Departm Network ID tudent Loca l Address Street AptBox City State MI End Sponsor will pay for the following check all that apply Full Tuition Health Services Partial Tuition indicate percentage or amount Medical Insurance Mandatory Fees Yes if yes state amo Jr etc Current Address STREET ADDRESS APT CITY PROVINCE POSTAL CODE PREVIOUS ADDRESSES within last 3 years STREET ADDRESS APT CITY PROVINCE POSTAL CODE STREET ADDRESS APT CITY PROVINCE POSTAL CODE Date of Birth Social Insurance Number MONTHDAYYEAR O ID Type 2 ID Type If your position is a paid or vol unteer position and you will be in contact with children elderly andor person with disabilities please read and complete the following consent Ex teacher coach foster parent nurse care giver Under the Family Education Rights and Privacy Act of 1974 Buckley Amendment which gives students the right to inspect and review their education records students waive their right to see speci64257c con64257dential statements and letters of recommen Do you own rent your house rent an apartment Applicants Home Environment Information Do you presently have a dog or have you owned a dog before Name Breed MF Age Are there cats in your home no yes how many Are all of your pets spayedneutered If not s father was a wealthy Virginia plante Washington fought in the French and Indian War Washington fought in the French and Indian War led disorganized poor ly funded Continental army in led disorganized poor ly funded Continental army in the Revoluti Last name First name Middle initial Curre nt Address Permanent Address if different from the current address Message Phone Alternate Phone mail Social Security Number New Application Reapplication For training to begin Fall Semester indic ate year A Last Name First Name Team Name Coach Name Coach Phone Anderson B 1003 8016749877 Bejarano M 1005 Lorenzo-Denise Bejarano 8017063601 Brinkerhoff P 1001 Chris McCann 8018348250 Brown T 1002 Ron Childers Co-Signor Data Last Name First Name Initial Date of Birth Present Address City State Zip How Long? Home Telephone No. Previous Address (If Less Than 3 Years At Present Address) No. of Dependents Age o Last, First, Middle Initial)Social Security Number: Present Address: Street)Day Phone: Present Address:City, St., ZIP)Evening Phone: Yr/Mo at Present Address: Salary/Pay Desired: Part-Time Sea