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Good Life Solutions Interest Form
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Current Education Year
Area of Interest
List any courses relevant to the job opportunity you are seeking:
Have you been employed during the past 6 months?
Address (Street, City, State, Zip Code):
Supervisor Phone Number:
Hours per week:
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Number of hours required to fulfill education program requirements (if applicable):
Schedule availability / preference (list days and times):
Are you currently employed by the City of Newport News?
Do you currently have any relatives working for the City of Newport News?
Relative's Name, Relationship, and Department
Please provide your current GPA:
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