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Do you have any physical limitations to prevent you from performing any work for which you are applying (i.e. Standing, bending, crawling, climbing ladders, lifting, etc.)?

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Yes I certify that answers provided by me are true and complete to the best of my knowledge. I understand the information provided is subject to verification as a condition of employment. In event of employment, I understand that false or misleading information given in my application may result in discharge. I understand that I am required to abide by all rules and regulations set forth by C.M.i. A/C & Electrical. I also understand that C.M.i. A/C & Electrical is a drug free workplace and I must pass a pre-employment screening as a condition of employment.

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