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a <br />DATE RECEIVED <br />CITY Of MOUNDS VIEW <br />12 <br />APPLICATION FOR EMPLOYMENT <br />�— <br />SECTIONS FULLY. YOU ARE ENCOURAGED TO SUBMIT A PERSONAL RESUME IN ADDITION TO THIS APPLICATION._ <br />WORK APPLYING FOR I PERMANENT ® PART TIME U I DATE AVAILABLL <br />TEMPORARY N SEASONAL n 9 weakR nnf ICP <br />fT NAME MIDDLE LAST NAME SOCIAL SECURITY NO. <br />DEWAR ROHRBACTIER SR. 475— 40— 9589 <br />ADDRESS CITY STATE ZIP CODF. NOW LONG' <br />Spring Lk Park Minnesota 55432 2_yIB. <br />PPREVIOUS ADDRESS DRIVE 145 LICENSE NUMBER AND STATE <br />1 4134 Arthur St. N.E. _ _ R- 612-319-139-138 <br />TIONS, I IF 50, EXPLAIN <br />GRADE SCHOOL HIGH SCHOOL COLLEGE POSTGRADUATE <br />1 2 3/ 5 6 a R 9 10 II 12 13 @ 15 16 1 2 MA PHD <br />F LAST HIGH SCHOOL DATE OF ORAOUATION HAVE YOU PASSED THE <br />hts High School 1400 49th Ave N.E. ( 1957 GEDTE5T7 ves�No� <br />NAME AND MAILING ADDRESS OF SCHOOL <br />MAJOR AND IAINOn <br />DEGREE <br />FROM <br />TO <br />varsity of Minnesota, 14th/Univ S.E. <br />1957-1951 <br />SLA <br />_ <br />varsity of Minnesota, Night school 6 <br />969 <br />197 <br />CLA, Criminal J <br />stic: <br />x ens on6tudles <br />'.ORRESPONDENCE COURSES, SEMINARS, WORKSHOPS, TRAINING SESSIONS, ETC. THAT MIGHT RELATE <br />TO THIS POSITION. ALSO LIST ANY LICENSES OR CERTIFICATES RELATING TO POSITION. <br />SEE ATTACHE grgiimr. <br />TORY <br />LIST EMPLOYER'S BCGINNING WITH YOUR PRESENT OR MOST RECENT EMPLOYMENT. <br />MAILING ADDRESS ZIP CODE TELEPHONE NO. <br />,gp011R yR�......— n�cn,A Pn I IMMEDIATE SUPERVISOR <br />I--- LAST SALARY I FA (LIT TIME ® I REASON FOR LEAVING <br />(COMPLETE OTHER SIDE) <br />