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}{\b\f1\fs22\expnd-1\expndtw-8\insrsid2431497 APPLICATION FOR EMPLOYMENT
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registered with selective service }{\f1\fs18\expnd15\expndtw75\insrsid2431497 __}{\f1\fs18\expnd-1\expndtw-8\insrsid2431497  Yes _ No}{\f1\fs18\insrsid2431497 \tab }{\f1\fs18\expnd-1\expndtw-8\insrsid2431497 N/A
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working days notice to present employer.
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\f1\fs22\expnd-1\expndtw-8\sub\insrsid2431497 .}{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 ____Yes\tab NO
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 the following pages will be used to determine your qualifications for this position. Be as thorough as possible in describing your education and work experience. }{\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Vague or incomplete answers will not be interpreted in your favor. }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 If you need more space, attach additional sheets.
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{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 8890}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8196
\dpline\dpptx0\dppty0\dpptx9491\dppty0\dpx149\dpy245\dpxsize9491\dpysize0\dplinew14\dplinecor0\dplinecog0\dplinecob0}}}}{\b\f1\expnd1\expndtw8\insrsid2431497 Education and Training
\par }\pard \ql \fi-792\li792\ri1656\sb144\sl-240\slmult0\nowidctlpar\faauto\adjustright\rin1656\lin792\itap0 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 
{\shp{\*\shpinst\shpleft116\shptop120\shpright9669\shpbottom120\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz5\shplid1031{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 18415}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8197
\dpline\dpptx0\dppty0\dpptx9553\dppty0\dpx116\dpy120\dpxsize9553\dpysize0\dplinew29\dplinecor0\dplinecog0\dplinecob0}}}}{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
14. Circle last year of education completed. For high school diploma or GED circle "12". 1 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 plus.
\par }\pard \ql \li0\ri504\sb180\sl-240\slmult0\nowidctlpar\faauto\adjustright\rin504\lin0\itap0 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 
{\shp{\*\shpinst\shpleft135\shptop221\shpright9630\shpbottom221\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz6\shplid1032{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8198
\dpline\dpptx0\dppty0\dpptx9495\dppty0\dpx135\dpy221\dpxsize9495\dpysize0\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}}{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 15. List formal education beginning with the most recent. Include hig
h school, college, vocational or business school, apprenticeship, military training, etc.
\par {\pntext\pard\plain\f22\fs22\expnd-1\expndtw-8\cf1 \hich\af22\dbch\af0\loch\f22 A.\tab}}\pard \ql \li360\ri0\nowidctlpar\jclisttab\tx648\tqr\tlul\tx9612{\*\pn \pnlvlbody\ilvl0\ls3\pnrnot0\pnucltr\pncf1\pnstart1\pnindent360\pnsp120 {\pntxta .}}
\faauto\ls3\adjustright\rin0\lin360\itap0 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Name of School}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li648\ri0\nowidctlpar\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Address of School}{
\f22\fs22\insrsid2431497 
\par }\pard\plain \ql \li648\ri0\nowidctlpar\tlul\tx4248\tlul\tx6732\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Attended from (mo/yr)}{\f22\fs22\insrsid2431497 \tab }{\f1\expnd1\expndtw8\insrsid2431497 to}{\f1\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Total credit hours}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li648\ri0\nowidctlpar\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Type of credit (semester, quarter, CEU's, etc.)}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li648\ri0\nowidctlpar\tlul\tx5724\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Major(s) or course}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Minor(s)}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx3960\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Did you graduate?}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Type of degree}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par {\pntext\pard\plain\cf1\lang1024\langfe1024\langnp1024\langfenp1024 \hich\af0\dbch\af0\loch\f0 B.\tab}}\pard \ql \li360\ri0\sb144\nowidctlpar\jclisttab\tx648\tqr\tlul\tx9576{\*\pn \pnlvlbody\ilvl0\ls3\pnrnot0\pnucltr\pncf1\pnstart1\pnindent360\pnsp120 
{\pntxta .}}\faauto\ls3\adjustright\rin0\lin360\itap0 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 {\shp{\*\shpinst\shpleft120\shptop212\shpright9616\shpbottom212\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz7\shplid1033
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}
{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8199\dpline\dpptx0\dppty0\dpptx9496\dppty0\dpx120\dpy212\dpxsize9496\dpysize0
\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}}{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Name of School}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li576\ri0\nowidctlpar\tqr\tlul\tx9576{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Address of School}
{\b\f22\fs22\insrsid2431497 
\par }\pard\plain \ql \li576\ri0\nowidctlpar\tlul\tx4284\tlul\tx6768\tqr\tlul\tx9576{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Attended from (mo/yr)}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 to}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Total credit hours}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li576\ri0\nowidctlpar\tqr\tlul\tx9576{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Type of credit (semester, quarter, CEU's, etc.)}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li576\ri0\nowidctlpar\tlul\tx5580\tqr\tlul\tx9576{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Major(s) or course}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Minor(s)}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li576\ri0\nowidctlpar\tlul\tx3960\tqr\tlul\tx9576{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Did you graduate?}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Type of degree}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par {\pntext\pard\plain\cf1\lang1024\langfe1024\langnp1024\langfenp1024 \hich\af0\dbch\af0\loch\f0 C.\tab}}\pard \ql \li360\ri0\sb144\nowidctlpar\jclisttab\tx648\tqr\tlul\tx9612{\*\pn \pnlvlbody\ilvl0\ls3\pnrnot0\pnucltr\pncf1\pnstart1\pnindent360\pnsp120 
{\pntxta .}}\faauto\ls3\adjustright\rin0\lin360\itap0 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 {\shp{\*\shpinst\shpleft106\shptop212\shpright9606\shpbottom212\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz8\shplid1034
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}
{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8200\dpline\dpptx0\dppty0\dpptx9500\dppty0\dpx106\dpy212\dpxsize9500\dpysize0
\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}}{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Name of School}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li576\ri0\nowidctlpar\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Address of School}
{\b\f22\fs22\insrsid2431497 
\par }\pard\plain \ql \li576\ri0\nowidctlpar\tlul\tx4248\tlul\tx6732\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Attended }{\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 from (mo/yr)}{\b\f22\fs22\insrsid2431497 \tab }{\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 to}{\b\f22\fs22\insrsid2431497 \tab }{\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Total }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 credit hours}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li576\ri0\nowidctlpar\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Type of credit (semester, quarter, CEU's, etc.)}{\f22\fs22\insrsid2431497 
\par }\pard\plain \ql \li576\ri0\nowidctlpar\tlul\tx5580\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Major(s) or course}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Minor(s)}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li576\ri0\nowidctlpar\tlul\tx3960\tqr\tlul\tx9612{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin576\itap0 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Did you graduate?}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Type of degree}{\f22\fs22\insrsid2431497 
\par {\pntext\pard\plain\cf1\lang1024\langfe1024\langnp1024\langfenp1024 \hich\af0\dbch\af0\loch\f0 D.\tab}}\pard \ql \li360\ri0\sb144\nowidctlpar\jclisttab\tx648\tqr\tlul\tx9612{\*\pn \pnlvlbody\ilvl0\ls3\pnrnot0\pnucltr\pncf1\pnstart1\pnindent360\pnsp120 
{\pntxta .}}\faauto\ls3\adjustright\rin0\lin360\itap0 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 {\shp{\*\shpinst\shpleft96\shptop207\shpright9601\shpbottom207\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz9\shplid1035
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}
{\sp{\sn lineWidth}{\sv 8890}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8201\dpline\dpptx0\dppty0\dpptx9505\dppty0\dpx96\dpy207\dpxsize9505\dpysize0
\dplinew14\dplinecor0\dplinecog0\dplinecob0}}}}{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Name of School}{\f22\fs22\insrsid2431497 
\par }\pard\plain \s15\ql \li576\ri0\nowidctlpar\tqr\tlul\tx9612\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Address of School}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li576\ri0\nowidctlpar\tlul\tx4248\tlul\tx6804\tqr\tlul\tx9612\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Attended from (mo/yr)}{
\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 to}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Total credit hours}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li576\ri0\nowidctlpar\tqr\tlul\tx9612\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Type of credit (semester, quarter, CEU's, etc.)}{
\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li576\ri0\nowidctlpar\tlul\tx5472\tqr\tlul\tx9612\faauto\adjustright\rin0\lin576\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Major(s) or course}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Minor(s)}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li576\ri0\nowidctlpar\tlul\tx3924\tqr\tlul\tx9612\faauto\adjustright\rin0\lin576\itap0 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Did you graduate?}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Type of degree}{
\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li0\ri72\sb211\sl-240\slmult0\nowidctlpar\brdrt\brdrhair\brdrw12\brsp40\brdrcf1 \faauto\adjustright\rin72\lin0\itap0 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
16. Use this space to identify any other educational experiences you have had which are pertinent to this
 position. Include workshops, seminars, military or vocational training etc. which are not listed above. Indicate time involved (hours per week, number of weeks, number of credits, etc.)
\par }\pard \ql \li0\ri792\sb1224\sa1152\nowidctlpar\faauto\adjustright\rin792\lin0\itap0 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 
{\shp{\*\shpinst\shpleft77\shptop1210\shpright9568\shpbottom1210\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz10\shplid1036{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 8890}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8202
\dpline\dpptx0\dppty0\dpptx9491\dppty0\dpx77\dpy1210\dpxsize9491\dpysize0\dplinew14\dplinecor0\dplinecog0\dplinecob0}}}}{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 17. List any relevant certificates, licenses or registrations you po
ssess or are eligible for. Included expiration dates.
\par }{\insrsid2431497 \sect }\sectd \marglsxn1133\margrsxn1183\margtsxn567\margbsxn2179\linex0\footery1695\sectdefaultcl\sftnbj {\footer \pard\plain \ql \li0\ri0\keep\keepn\nowidctlpar\tx1488\faauto\adjustright\rin0\lin0\itap0 
\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid2431497 \tab }{\f1\fs22\expnd5\expndtw27\insrsid2431497 If}{\f1\fs22\expnd-1\expndtw-8\insrsid2431497  you need additional space, please continue on a separate sheet of paper
\par }}\pard\plain \qc \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 
{\shp{\*\shpinst\shpleft1843\shptop5338\shpright10662\shpbottom5338\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0\shpz11\shplid1037{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn posrelh}{\sv 1}}
{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxpage\dobypage\dodhgt8203\dpline\dpptx0\dppty0\dpptx8819\dppty0\dpx1843\dpy5338\dpxsize8819\dpysize0\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft1848\shptop5587\shpright10662\shpbottom5587\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0\shpz12\shplid1038{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn posrelh}{\sv 1}}
{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxpage\dobypage\dodhgt8204\dpline\dpptx0\dppty0\dpptx8814\dppty0\dpx1848\dpy5587\dpxsize8814\dpysize0\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft1843\shptop9024\shpright10657\shpbottom9024\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0\shpz13\shplid1039{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn posrelh}{\sv 1}}
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{\shp{\*\shpinst\shpleft1838\shptop9250\shpright10595\shpbottom9250\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0\shpz14\shplid1040{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn posrelh}{\sv 1}}
{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxpage\dobypage\dodhgt8206\dpline\dpptx0\dppty0\dpptx8757\dppty0\dpx1838\dpy9250\dpxsize8757\dpysize0\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}
{\shp{\*\shpinst\shpleft1829\shptop12590\shpright10628\shpbottom12590\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0\shpz15\shplid1041{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 8890}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn posrelh}{\sv 1}}
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{\shp{\*\shpinst\shpleft1824\shptop12840\shpright10628\shpbottom12840\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0\shpz16\shplid1042{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 8890}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn posrelh}{\sv 1}}
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{\shp{\*\shpinst\shpleft1824\shptop13090\shpright10628\shpbottom13090\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt0\shpz17\shplid1043{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn posrelh}{\sv 1}}
{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxpage\dobypage\dodhgt8209\dpline\dpptx0\dppty0\dpptx8804\dppty0\dpx1824\dpy13090\dpxsize8804\dpysize0\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}}{\b\f1\fs26\insrsid2431497 
Work History
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par 18. Begin with your current or most recent position and work backwards. List each promotion as a separate job. Include paid and verifiable non-paid experience, induding military service. }{\b\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
Be as accurate and complete as possible, }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 especially in describing the duties of each position. }{\f1\fs22\expnd5\expndtw27\insrsid2431497 If}{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
 you need more space, attach additional sheets using the same format.
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\faauto\ls4\adjustright\rin0\lin288\itap0 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 {\shp{\*\shpinst\shpleft67\shptop206\shpright9534\shpbottom206\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz18\shplid1044
{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}
{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8210\dpline\dpptx0\dppty0\dpptx9467\dppty0\dpx67\dpy206\dpxsize9467\dpysize0
\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Current or most recent position:
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx5076\tlul\tx6372\tlul\tx8172\tqr\tlul\tx9540{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Dates of employment: From (mo/yr)}{
\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 to}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Total years}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 months}{
\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx5076\tlul\tx7596\tqr\tlul\tx9540{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Job Title}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Starting Salary}{\f1\fs22\expnd-1\expndtw-8\sub\insrsid2431497 ..}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Last Salary}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx5076\tqr\tlul\tx9540{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Employer}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Type of business}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx6660\tqr\tlul\tx9540{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Employer's Address}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Phone}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li648\ri0\nowidctlpar\tqr\tlul\tx9540{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
Supervisor's Name and Title}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }{\f22\fs18\expnd0\expndtw2\insrsid2431497 Number of employees }{\b\f22\fs18\expnd0\expndtw2\insrsid2431497 you supervised}{\b\f22\fs18\insrsid2431497 \tab }{\b\f22\fs18\expnd0\expndtw2\insrsid2431497 Average hours worked per }{
\f22\fs18\expnd0\expndtw2\insrsid2431497 week __1-10 }{\b\f22\fs18\expnd0\expndtw2\insrsid2431497 _11-20 _21-30_31+
\par }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Reason(s) for leaving}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par Complete description of duties}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par {\pntext\pard\plain\cf1\lang1024\langfe1024\langnp1024\langfenp1024 \hich\af0\dbch\af0\loch\f0 B.\tab}}\pard\plain \ql \li288\ri0\sb1476\nowidctlpar\jclisttab\tx720{\*\pn \pnlvlbody\ilvl0\ls4\pnrnot0\pnucltr\pncf1\pnstart1\pnindent360\pnsp120 {\pntxta .}}
\faauto\ls4\adjustright\rin0\lin288\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 
{\shp{\*\shpinst\shpleft710\shptop701\shpright9529\shpbottom701\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz19\shplid1045{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8211
\dpline\dpptx0\dppty0\dpptx8819\dppty0\dpx710\dpy701\dpxsize8819\dpysize0\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Next previous position:
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx4968\tlul\tx6264\tlul\tx8172\tqr\tlul\tx9504{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Dates of employment: From (mo/yr)}{
\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 to}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Total years}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 months}{
\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx4968\tlul\tx7452\tqr\tlul\tx9504{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Job Title}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Starting Salary}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Last Salary}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx4968\tqr\tlul\tx9504{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Employer}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Type }{\b\f1\fs22\expnd-1\expndtw-8\insrsid2431497 of business}{\b\f1\fs22\insrsid2431497 \tab }{\b\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx6552\tqr\tlul\tx9504{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Employer's Address}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Phone}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li648\ri0\nowidctlpar\tqr\tlul\tx9504{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\adjustright\rin0\lin648\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
Supervisor's Name and Title}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }{\b\f22\fs18\expnd0\expndtw2\insrsid2431497 Number of employees you supervised}{\b\f22\fs18\insrsid2431497 \tab }{\b\f22\fs18\expnd0\expndtw2\insrsid2431497 Average hours worked per week }{\b\f22\fs18\expnd7\expndtw36\insrsid2431497 _1-1011-2021-30}{
\b\f22\fs18\expnd0\expndtw2\insrsid2431497  31+
\par }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Reason(s) for leaving}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par Complete description of duties}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par {\pntext\pard\plain\cf1\lang1024\langfe1024\langnp1024\langfenp1024 \hich\af0\dbch\af0\loch\f0 C.\tab}}\pard\plain \ql \li288\ri0\sb1368\nowidctlpar\jclisttab\tx720{\*\pn \pnlvlbody\ilvl0\ls4\pnrnot0\pnucltr\pncf1\pnstart1\pnindent360\pnsp120 {\pntxta .}}
\faauto\ls4\adjustright\rin0\lin288\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang1024\langfe1024\langnp1024\langfenp1024\insrsid2431497 
{\shp{\*\shpinst\shpleft701\shptop652\shpright9462\shpbottom652\shpfhdr0\shpbxcolumn\shpbypara\shpwr3\shpwrk0\shpfblwtxt0\shpz20\shplid1046{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 12065}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8212
\dpline\dpptx0\dppty0\dpptx8761\dppty0\dpx701\dpy652\dpxsize8761\dpysize0\dplinew19\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Next previous position:
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx5076\tlul\tx6372\tlul\tx8172\tqr\tlul\tx9504\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Dates of employment: From (mo/yr)}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 to}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Total years}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 months}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx5076\tlul\tx7560\tqr\tlul\tx9504\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Job Title}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Starting Salary}{
\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Last Salary}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx5076\tqr\tlul\tx9504\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Employer}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Type of business}{
\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard \ql \li648\ri0\nowidctlpar\tlul\tx6624\tqr\tlul\tx9504\faauto\adjustright\rin0\lin648\itap0 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Employer's Address}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Phone}{
\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s15\ql \li648\ri0\nowidctlpar\tqr\tlul\tx9504\faauto\adjustright\rin0\lin648\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Supervisor's Name and Title}{\f1\fs22\insrsid2431497 \tab }{
\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }{\f22\fs18\expnd0\expndtw2\insrsid2431497 Number of }{\b\f22\fs18\expnd0\expndtw2\insrsid2431497 employees }{\f22\fs18\expnd0\expndtw2\insrsid2431497 you supervised}{\f22\fs18\insrsid2431497 \tab }{\f22\fs18\expnd0\expndtw2\insrsid2431497 
Average hours worked per week }{\f22\fs18\expnd6\expndtw34\insrsid2431497 1-1011-20_21-30_31+}{\f22\fs18\expnd0\expndtw2\insrsid2431497 
\par }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Reason(s) for leaving}{\f1\fs22\insrsid2431497 \tab }{\f1\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li648\ri0\sa432\nowidctlpar\tqr\tlul\tx9504\faauto\adjustright\rin0\lin648\itap0\pararsid2431497 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\expnd-1\expndtw-8\insrsid2431497 Complete description of duties}{
\f1\fs22\insrsid2431497 \tab }{\insrsid2431497 \sect }\sectd \marglsxn1723\margrsxn1313\margtsxn1410\margbsxn2765\linex0\footery2639\sectdefaultcl\sftnbj {\footer \pard\plain \ql \li0\ri0\keep\keepn\nowidctlpar\tx1324\faauto\adjustright\rin0\lin0\itap0 
\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid2431497 \tab }{\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Davison County is an EQUAL OPPORTINITY EMPLOYER
\par }}\pard\plain \qc \li0\ri0\sb36\nowidctlpar\faauto\adjustright\rin0\lin0\itap0\pararsid2431497 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Please Read and Sign Below
\par }\pard\plain \s16\ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li0\ri792\sl-240\slmult0\nowidctlpar\faauto\adjustright\rin792\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
If employed, I understand that my employment is for NO definite period of time, and if terminated Davison County is liable only for wages and benefits earned as of the date of termination.
\par }\pard\plain \s16\ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li0\ri576\sl-240\slmult0\nowidctlpar\faauto\adjustright\rin576\lin0\itap0\pararsid2431497 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid2431497 I hereby certify that the information 
given by me is true and complete to the best }{\i\f21\fs18\expnd0\expndtw4\insrsid2431497 of }{\insrsid2431497 my knowledge and belief. I further authorize investigation of all statements I have made. Misrepresentation, falsification, or omission }{
\i\f21\fs18\expnd0\expndtw4\insrsid2431497 of facts }{\insrsid2431497 called for in this applications or in the }{\expnd-2\expndtw-10\insrsid2431497 interview process is cause for cancellation of this application or termination}{\insrsid2431497  }{
\i\f21\fs18\expnd0\expndtw2\insrsid2431497 of }{\expnd-2\expndtw-10\insrsid2431497 employment.}{\insrsid2431497  }{\b\insrsid2431497 Unsigned applications will NOT be considered.}{\insrsid2431497 
\par }\pard \ql \li0\ri720\sl2472\slmult0\nowidctlpar\tlul\tx1872\tlul\tx4968\tlul\tx8172\faauto\adjustright\rin720\lin0\itap0\pararsid2431497 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Signature\tab }{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Date}{\f22\fs22\expnd0\expndtw-1\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497  }{\b\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Authorization for reference requests (sign below).
\par }\pard\plain \s16\ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \ql \li0\ri0\sl-240\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 I have applied for employment with Davison County and I desire tha
t they be FULLY advised of my record with former employers. I, therefore, respectfully request that you furnish the requested information concerning my employment with your organization, and I hereby, release you from any and all liability of damages for 
providing the information requested.
\par }\pard\plain \s16\ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\tlul\tx4752\tlul\tx8280\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Applicant's Signature}{\f22\fs22\insrsid2431497 \tab }{
\f22\fs22\expnd-1\expndtw-8\insrsid2431497 Date}{\f22\fs22\insrsid2431497 \tab }{\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par }\pard\plain \s16\ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
\par 
\par }\pard\plain \ql \fi72\li0\ri0\sa720\sl-240\slmult0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f22\fs22\expnd-1\expndtw-8\insrsid2431497 
Davison County in accordance with state and federal laws, does not discriminate on the basis of age, race, color, ancestry, national origin, creed, religion, sex, maritial status, disability or political affiliation.
\par }}