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GILPIN CONSTRUCTION CO.Street Address  North Main StreetLondon, KY Street Address  PHONE NUMBER AVAILABLE Fax PHONE NUMBER AVAILABLE EMAIL AVAILABLEApplication for EmploymentPersonal informatjoyName #FU St. a Fusd A Date D,resenrctees 2b Claud cub Rl eandsa  adsPermanent Addiomer  29) LE IPREmployment no 2 (Position Date you can start Y, Reg. bAre you employed? AV Q _ tso, may we inquire your t employerEver applied to this company? VQ) Where? When?EducationYears DaleNampe & Location of School Attended Graduated _ Area of Stud)Grammar School Nn AHigh School WHITH Eauy't] A G7 L 202]caiege 42a COME PR OSATrade, Business orCorrespond. Schoo!GeneralSubjects of Special Study or yfleresSpecial Training orCertificate 7 7Special SkillsUS. Military Service 2 RankSpecial QuestionsAre you legally authorized to work in the U.S. es [NoAre you at least 18 year of age? Yes [ No+The Age Discrimination is Employment Act of 1967 prohibits dacrninaon on Te basis of age wih respect nevis who ae atleast 40 but less than 70,yoors of ge.Former Employers: List below your last four employers, starting with the most recent one first.Date (WY) _ Employer Name & Address Salary [Position Reason LeftFrom:cmon Page tof 2 svises eax coe