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Senior Employment Program Application

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Certain information is collected for the purpose of reporting to funding sources.

Applicants aged 55 and older will be considered for placement opportunities without regard to race, color, religion, sex, national origin, marital status, veteran status, disability or other legally protected status. Responses to the following questions, along with information received from references or background checks, will not be used as a basis for discrimination but will be judged on the relevance of the information to the placement you seek.

Additional information may be requested at the time of orientation.