Lance Uppercut

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Looking for friends

 Fill out this application and post to the blog. I'll consider it.
 Applicant Name ___________________
Home Phone _____________________
Cell Phone _______________________
Email Address ____________________

How were you referred to me?:________________________


Position(s) applying for:________________________________

Are you applying for:

What days and hours are you available?___________________________________________

when will you be available? ___________________________________________

Can you talk on the weekends? [ ] Y or [ ] N

Can you talk evenings? [ ] Y or [ ] N

Personal Information:

Are you over the age of 18? If under 18, ever consider dating an older guy? [ ] Y or [ ] N

Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case.____________________________________________

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. In fact, it will probably be a bonus)

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