Midwest Strippers Job Employment

EMPLOYMENT

First Name*

Last Name*

Stage Name

Cell Phone*

Email Address*

Home Address*

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Date Of Birth*

Current Employer

Employer Phone Number

Job Title

Emergency Contact*

Emergency Phone Number*

Location Wanting To Work*

Position Applying For*

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If Part Time Student Explain

If Any Explain Previous Stripper Experience

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If Any Explain Body Piercings And Tattoos

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