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Commonwealth of Virginia DHRM Form 10-012 Rev. 9/03 Please print in ink preferably black or use typewriter Number of attachments Application for Employment Position number Employees of the Commonwealth and applicants for employment shall be afforded equal opportunity in all aspects of employment without regard to race color religion political affiliation national origin disability marital status gender or age. Month Year 14. CERTIFICATION--Each Application Requires Current Date and Original...
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