General Application Form

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Are you a U.S. citizen?*

Have you applied or been employed by Legacy in the past?*

If yes, when and at which location?*

Position Applying For*

Preferred Start Date*

Are you 18+ years old?*

Desired Location*

Paragould

Corning

Piggott

Kennett

Hayti

Portageville

New Madrid

What made you want to apply for this position? (select all that apply) *

Facebook

Twitter

Legacy Equipment Recruitment Video

Print Ad

Cinema 8 Commercial

Friend

Legacy Equipment Employee

Other

Were you referred by a current Legacy Equipment employee?*

Other Education & Certification

Skills or Qualifications

Have you ever served in the U.S. armed forces?*

Supervisor Name/Title*

Starting Wage/Salary*

Brief Description of Duties

Supervisor Name or Title

Starting Wage or Salary

Brief Description of Duties

Have you ever been dismissed or forced to resign from any employment?*

If yes, please explain

Attach Resume (strongly recommend)

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