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Optional Data Collected For Statistical Purposes

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Phone: 757-539-2100 | Fax: 757-539-5184
530 East Pinner St. | Suffolk, VA 23434
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Pursuant to federal regulations, we collect responses to the questions below for record keeping purposes. This information will not be kept with your application for employment. Federal law prohibits unlawful discrimination on that basis of race, color, sex, national origin, religion or disability.

*Required Fields