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347URN TO. DATE RECEIVED <br />PE IISONNEL OFFICE CITY Of MOUNDS VIEW <br />ICHWAY �NDS ----- <br />IGHWAY,MN55nt APPLICATION FOR EMPLOYMENT <br />COMPLETE ALL SECTIONS FULLY, YOU ARE ENCOUBAGEO TO SUBMIT A PERSONAL RESUME IN AIDITION TO THIS APPLICATION. <br />'OSITION Oil KIND OF WORK APPLYING F0L PERMANENT ® PART TIME ❑ DAT AVAILABLE <br />e,% CCLf( TEMPORARY SEASONAL fril 0 IAreA <br />_.___....._ .....,.. ,.e•unuc 7 SOCIALSECURITY NO. <br />CITY <br />..OME TELEPHONE NO. I PREVIOUS ADDRESS �7�Y DRIVERSLICENSE NUMBERANDSTATE <br />Q tAenc -i UR. <br />ANY PHYSICAL LIMITATIONS] IF SO. EXPLAIN <br />YES NO® <br />JUCATION/TRAINING <br />CIRCLE HIGHEST GRADE SCHOOL HIGH SCHOOL COLLEGE POSTGRADUATE <br />TRADE COMPLETED 1 2 0 1 5 6 7 8 9 10 it 17 14 15 16 1 2 MA PRO <br />GAME AND ADDRESS OF LAST HIGH SCHOOL DATE OF GRADUATION HAVE YOU PASSED THE <br />Ll .. .. I_�! _ �� GEDTEST7 YES(3NO[] <br />TYPE SCHOOL <br />NAME AND MAILING ADDRESS OF SCHOOL <br />FROM <br />TO <br />MAJOR AND MINOR <br />DEGREE <br />COLLEGE/ <br />UNIVERSITY <br />EOE/ <br />ERSITY <br />:OLLEGE/ <br />JNIVERSITY <br />TECHNICAL <br />TECHNICAL <br />JTHER <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 />IPLOYMENT HISTORY <br />LIST EMPLOYERS BEGINNING WITH YOUR PRESENT OR MOST RECENT EM <br />EMPLOYER'S NAME r MAILING ADDRESS <br />TION voll A, <br />yOUTIESPERFORMED I <br />EMPLOYMENT ES LASTSALARY FULL TIME REASON FOR LEAVING <br />PART TIME <br />FROM 71 TO I N <br />(COMPLETE OTHER SIDE) <br />ZIP CODE TELEPHONE NO. <br />p .T)7/ <br />IMMEDIATE SUPERVISOR <br />