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* 1. Job Applied For

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* 2. Name

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* 4. What is your age?

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* 5. Gender - How do you identify?

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* 7. What is your religion or what are your beliefs?

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* 8. Which of the following options best describes how  you think of yourself?

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* 9. What is your ethnic group?  Choose one option that best describes your ethnic group or background

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* 11. Where did you hear about this job?

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