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    Application Information
    FIRST NAME*
    LAST NAME*
    Street Address*
    Address Line 2
    CITY*
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    Date Available*
    IF YOU ARE UNDER 18 YEARS OF AGE, PLEASE LIST YOUR AGE:(This information will be used only for child labor law purposes.)
    Position Applied for
    Are there days, shifts, or hours you will not work:
    Will you work overtime, if required?
    Have you ever applied for or worked for boost oxygen before?
    Are You Legally Authorized To Work In The United States?
    Will you now or in the future require sponsorship for employment via status?
    Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Employment Eligibility Verification “Form I-9” be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment.
    Employment History
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    Address

    Dates Employed

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    Supervisor
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    Reason for leaving
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    Dates Employed

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    Supervisor
    Email address
    Reason for leaving
    Company
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    Dates Employed

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    I certify that the answers given herein and during the entire application process (including but not limited to information provided in resumes, attachments to this application, interviews or otherwise (if applicable)) are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers during the application process may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts during the application process may be cause for my dismissal at any time without prior notice.

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    3 LITER

    POCKET SIZE
    Approximately 60 one-second inhalations.

    Ideal for "on the go" quick trips to the grocery store or lunch with friends.

    3 liter
    5.8 INCHES

    5 LITER

    MEDIUM SIZE
    Approximately 100 one-secon inhalations.

    Ideal for the gym, a daily hike, outdoor exercise or a day trip.

    3 liter
    8.5 INCHES

    10 LITER

    LARGE SIZE
    Approximately 200 one-second inhalations.

    Ideal for weekly home use, camping, vacations, long trips and extended travel.

    3 liter
    10.5 INCHES