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RETURN TO: <br />FIE RSONNEL OFFICE CITY Of MOUNDS IiIEW DATE RECEIVED <br />", IIGHWAY 10 <br />MOUNDS VIEW, MN 66112 APPLICATION FOR EMPLOYMENT <br />COMPLETE ALL SECTIONS FULLY. YOU ARE ENCOURAGEO To SUBMIT A PERSONAL RESUME IN ADDITION TO THIS APPLICATION. <br />POSITION Oqry KINGjj}}F WORK APPLYING FOR _.(i' <br />C /J._ PERMANFNT ®, PART TIME �' DATE AVAILABLE <br />{+ 7Y 1/ TEMPORARY Q SEASONAL <br />FIRST NAME MIDDLE LAST NAME <br />SOCIA]L S�EICURITY NO. <br />PRESENTRRMANEN7ADD SS A ICITY �•�•,-+—,��2�'Os <br />STAT ZIP CODE I.,NOW LONG? <br />IIS7 �o �IAn <br />HOME TEL PHONE N0. PREIIOUSADDRECS GkL 5�/o <br />DRIVERS LICENSE NUMBS gNOSTATE <br />i r dk5 /{fat 1 �sd— 0 I <br />ANYPHYSICAL IIMITA710NSTI I. IF SO EXILAI/ll 1 , <br />LJC + -r l lr 1'Ile�r'in'.1 ,Im 7111f. B.'1 Ulr('jlrltlfT ItY 1 /.11 I I �, I..L..r�., �1 Il�ff. <br />:DJCATION/ff`A;�JtNG..' .•,'. , '. <br />CIRCLE HIGHS 6T - 'lr I GRADE SCHOOL • + I ' I I II'� '" I 1 1 Ilr:!.(Jt ('Ib•� F <br />I 'I ' :I , NIGH SCHOOL. COLLEGE POSTGRADUATE' <br />GRADE COMPLETED,?i'i?I 1.7'2 O p 6, 6 7 B'1'(: I.1 ;', /1 70 71 1]1 Ir ' ""I y''I .IF' +•.' <br />NAME AND AD BEES OF LAST HIGH SCHOOL... ; �'/ 1S SG T6 fS , i III ! II ; I , +(, 1, 2—MI <br />DATE OF •I'.. 1 '� r. GRADUATION HAVE YOUPSE <br />DT HE <br />1 L' /•'' AN Cf _ CED TEST? YES❑NONDM <br />TYPE SCHOOL: 1'i 1 111 ((':'1r p NAME AND MAILING ADDRESS OF SCHOOL',;;,, <br />.. � <br />I FROM TO -,Ir ,. MAJ )RAND MINOR DEGREE <br />COLLEGEljllr li;T•l <br />UNIYERSITYI % r <br />L7�wCE1•I�fl y' 1�'`t '• Il dSl(II7• /ijs 1 r I I I I 1 11 '? . •/ <br />tIRST,I{ I �i✓'l ((.�," 1n 1'II SII'�If1�h1�Jl1 1<It7 <br />+rf lir !r/ h Ifn (, �u Ill rll ;lI I G II i li Jr 1 <br />COLT.E t3fi/I'L7 <br />VNIVERSI7Y, li /1 r ,l t li. IIiJ nL.Ia(I 7 dkl dl( I' i +1fi <br />TECH !•.. 1 I'I I+Iitrll �l. t�il air 4:. i(' <br />TECHNICALI. •,', <br />OTHER'' <br />, ,( III I .. •1. r <br />'I.ii l'll II 'i, Ir).7.1, + .r... ll. it li�l1. �,a! 11. 11 •, I' Illl t In ' <br />tr;LISTANY CORRCFPONDENCE COVRSES bEMWgRO,WORKSHDPS, TgA1NINGSESS10N5, ETC <br />171i II/Ijll TOTNISPCSITION ALSOLISTANY LICEN6E60R CERTIFICATES RELATIN THAT MIGHT RELATE, <br />I:Lnl L� iI'.j op'•.raD J �vbrl.%i {I(. a+ 1 r';!. " I I OTOPOSITION--- I.rflll I7 rl�,. <br />'• ,`A+ r1 L(J>.IG illl Lll I�1 :(r�111 I-lII <br />n <br />IN <br />EMPLOYMENT <br />MPLOYMENT HISTORY. <br />' LIST EMPLOYER GINNI TH YOUR P SEN .R MOST RECENT EMPLOYMENT. <br />EMP OYERSWillN E "Ii!,I- •:I, "� yI'lll.I,, i.:" MAILING ADDR , <br />LODE}l. I TELEPHONE NO. <br />I ION HELa.ut ...... .�.... _.. [/ - Y/O'la1•Dne .C{•U//. G>'9�";0//: <br />67Kt�, I ., •' CJ++p�d llt r.. e S q/wc: S/d. irlPr� <br />I I ! I' 1 , (DDMPLETE OTHER <br />