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* Which Leddy Group Office do you wish to contact? (Please Select) Bedford, NH Dover, NH Laconia, NH Lebanon, NH Littleton, NH Portland, ME Rutland, VT * Applicant Name: Address: City/State: ,   AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code: * Phone: Fax: * Email: Type of employment desired: Hours desired: 40 hours/week less than 40 hours/week Preferred shift: 1st Shift 2nd Shift 3rd Shift Can you work swing shifts?: Yes   No Can you work weekends?: Yes   No What are your HOURLY salary expectations?: Do you have transportation?: Yes   No Are you at least 18 year old?: Yes   No Comments: