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Standard Digital Imaging - 4424 South 108th Street - Omaha, Nebraska - 68137 - 402.592.1292

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Standard Digital Imaging is an Equal Opportunity Employer and committed to excellence through diversity.

EMPLOYMENT APPLICATION
Position
Position you are applying for
Available Start Date
Month - Day - Year
Desired Pay
Employment Desired
Full TimePart TimeSeasonal / Temporary
Personal Information
Fullname

First Name
Last Name

Address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Phone
Area Code - Phone Number
Email
Are you legally eligible to work in the US?
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Are you a veteran?
YesNo
If selected for employment are you willing to submit to a background check?
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Upload Resume
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Education

Education History

	School name	Location	Years attended	Degree received	Major
1
2
3
4

References
Business and Professional only

Name Title Company Phone

1

2

3
Employment History

Employers

	Company	City / State	Job title	Dates employed	Ending pay rate
1
2
3
4
5

Signature Disclaimer
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application may result in my employment being terminated.
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