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If you were referred by a Gallup Associate, please provide their name:

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Will you now, or will you at any time in the future, require sponsorship for an employment visa (e.g., H-1B visa status)?

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The application statement shall constitute a part of any employment application I may submit to Gallup. I understand that I will be subject to dismissal if anything is found to be false. I understand that nothing contained in the employment or in the granting of any interview is intended to create an employment contract between Gallup and myself for either employment or for the providing of any benefit. I understand that no promises regarding employment have been made to me. I understand that if I am employed by Gallup, I will enter into a separate employment contract, which terms and conditions will govern my employment. This understanding cannot be changed except in writing by an authorized Gallup official. Gallup’s rights as explained in this form shall not be modified or limited to an oral representation by any Gallup representative, or by any written provisions contained in an any Gallup literature, newspaper or other advertisement, policy manual, or employment guidelines. *

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