Employee Application – Lexicon Consulting Inc.

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Do you have a security clearance?

Are you 18 years of age or older?

Are you eligible to work in the United States?

Have you been convicted of any law violation? Include any plea of ‘Guilty’ or ‘No Contest’. Exclude juvenile offenses and minor traffic violations (a conviction will not automatically disqualify an applicant for employment).

A.K.A.'s

Alien/Passport

Passport Expiration Date

Country

Driver License Number

Driver License Issue State

Driver License Exp. Date

Spoken Languages

Primary Language

Secondary Language

Additional Languages

License eligible ‘No

Upload Resume

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