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RETURN :O: DATE RECEIVED <br />PERSONNEL OFFICE CITY Of MOUNDS VIEW <br />2401 HIGHWAY 10 _ /0 ' <br />MO"'�VIEW, MN 55112 APPLICATION FOR EMPLOYMENT <br />COMPLETE ALL SECTIONS FULLY. YOU ARE ENCOURAGED TO SUBMIT A PERSONAL RESUME IN ADDITION TO THIS APPLICATION. <br />IOSITION OR KIND OF WORK APPLYING FOR PERMANENT ❑ PART TIME DATE AVAILABLE <br />(I,-4L'1 / . ./ , /I I TEMPORARY ❑ SEASONAL _ _ -L <br />FIRST NAME MIDDLE <br />LAST NAME <br />SOCIAL SECURITY NO. <br />i� I ? <br />1 <br />'RESENT P RMANENT ADD ESS CITY <br />STATE <br />ZIP CO E <br />HOW LONG? <br />III '� >.• � <br />.'l;-lril-i'fl <br />i <br /><< �, <br />_iiUl• <br />TOME TELEPHONE NO. <br />PREVIOUS ADDRESS <br />OflIVERS LICENSE NUMBER AND STATE <br />Ni PHYSICAL LIMITATIONS? <br />IF SO, EXPLAIN <br />YES ❑ NO ❑ <br />IUCATION/TRAINING <br />;IRCLE HIGHEST GRAOESCHOOL HIGH SCHOOL COLLEGE POSTGRADUATE <br />IRADE COMPLETED 1 2 G 1 5 6 7 B 9 10 (11 12 10 14 15 16 1 Z MA PHO <br />IpME AND ADDRESSI OF LASTHIGH SCHOOL I DATE OF GRADUATION I HAVE YOU PASSED THE <br />T/l.iV')IGIr 'r(Ii',�! • ✓ 1 /? 9 GEDTEST? YES❑N0C <br />YPESCHOOL <br />NAME AND MAILING ADDRESS OF SCHOOL <br />FROMI <br />TO <br />MAJOR AND MINOR <br />DEGREE. <br />:OLLEGE/ <br />INIVERSITY <br />:OLI^V <br />M' TY <br />:OLL-e/ <br />INIVERSITY <br />'ECHNICAL <br />'ECHNICAL <br />ITHER <br />LIST ANY CORRESPONDENCE COURSES, SEMINARS, WORKSHOPS, TRAINING SESSIONS, ETC. THAT MIGHT RELATE <br />TO THIS POSITION. ALSO LIST ANY LICENSES OR CERTIFICATES RELATING TO POSITION. <br />c�rCrf'A rvT <br />PLOYMENT HISTORY <br />LIST EMPLOYERS BEGINNING WITH YOUR PRESENT OR MOST RECENT EMPLOYMENT. <br />EMPLOYER'SNAME MAILING ADDRESS ZIP CODE TELEPHONE NO. <br />P01' 'HELD DUTIES PER FORMED I 11 I�IMMEDIATE SUPERVISOR <br />I. I ,'' I.1 7) I f 1 �I I l 1 1 <br />EMPLOYMENT GATES LASTSALARY FULLTIME ❑ REASON FOR LEAVING 1' <br />PART TIME j•j <br />ICOMPLETE OTHER SIDE) I <br />