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EMPLOYMENT APPLICATION

INSTRUCTION: Answer all questions completely and accurately. All statements are subject to verification. Incomplete or illegible applications will be rejected. Incorrect or falsified statements will bar or remove you from employment. A seperate application must be completed for each position or examination. Photocopied applications will not be accepted.

POSITION APPLIED FOR: POLICE CADET

SOCIAL SECURITY NUMBER:

FULL NAME: Last First Middle

STREET ADDRESS:

HOME PHONE:

WORK PHONE:

Are you under the age of 18? Yes No

Can you submit verification of your legal right to work in the United States? Yes No

Will you accept temporary or part-time work? Yes No

Drivers License Number: State where issued: Expiration Date:

Were you ever termintated or forced to resign because of misconduct or unsatisfactory services? (Your answer to this question may not disqualify you from employment).

Yes No
If yes, explain circumstances:

Have you ever been convicted of a misdemeanor or felony? Yes No
(If yes, give date, place, violation and penalty for each conviction below. A conviction will not necessarily result in disqualification).

EDUCATION

Circle Highest Grade Completed

8 9 10 11 12 13 14 15 16 17 18+

Did you Graduate from High School?

Yes No

Did you receive a GED?

Yes No

Name/Location of High School:

College or Trade Schools Attended:


Units Completed:

Degree Awarded & Major Subject:

Certifications or Licenses:


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