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EMPLOYMENT EXPERIENCE - Please list at least three employers (present or most recent employer first). Attach additional sheet as necessary. PROFESSIONAL REFERENCES (Examples: supervisor, professor /teacher) Please list three professional references you have known for at least one year. Do not include friends or relatives. Name Address I authorize the investigation of all statements contained in this application for employment as may be necessary to determine my eligibility for employment. I certify that answers given herein are true and complete to the best of my knowledge and I understand that making false statements on this application or withholding information shall be grounds for disqualification or dismissal. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time. Signature Date Telephone Years Relationship ** *The City of Ramsey requires criminal background checks, motor vehicle checks, reference checks, physical examinations, and drug tests on finalists. An Affirmative Action/Equal Opportunity Employer. * ** * ** *The original city application with signature must be received by the position closing date in order to be considered a valid application. * * ** v.02/09/10 Employer Dates Employed From To Address Telephone Job Title Supervisor's Name Description of Duties Reason for Leaving Hourly Rate Start Final EMPLOYMENT EXPERIENCE - Please list at least three employers (present or most recent employer first). Attach additional sheet as necessary. PROFESSIONAL REFERENCES (Examples: supervisor, professor /teacher) Please list three professional references you have known for at least one year. Do not include friends or relatives. Name Address I authorize the investigation of all statements contained in this application for employment as may be necessary to determine my eligibility for employment. I certify that answers given herein are true and complete to the best of my knowledge and I understand that making false statements on this application or withholding information shall be grounds for disqualification or dismissal. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time. Signature Date Telephone Years Relationship ** *The City of Ramsey requires criminal background checks, motor vehicle checks, reference checks, physical examinations, and drug tests on finalists. An Affirmative Action/Equal Opportunity Employer. * ** * ** *The original city application with signature must be received by the position closing date in order to be considered a valid application. * * ** v.02/09/10 Employer Dates Employed From To Address Telephone Job Title Supervisor's Name Description of Duties Reason for Leaving Hourly Rate Start Final EMPLOYMENT EXPERIENCE - Please list at least three employers (present or most recent employer first). Attach additional sheet as necessary. PROFESSIONAL REFERENCES (Examples: supervisor, professor /teacher) Please list three professional references you have known for at least one year. Do not include friends or relatives. Name Address I authorize the investigation of all statements contained in this application for employment as may be necessary to determine my eligibility for employment. I certify that answers given herein are true and complete to the best of my knowledge and I understand that making false statements on this application or withholding information shall be grounds for disqualification or dismissal. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time. Signature Date Telephone Years Relationship ** *The City of Ramsey requires criminal background checks, motor vehicle checks, reference checks, physical examinations, and drug tests on finalists. An Affirmative Action/Equal Opportunity Employer. * ** * ** *The original city application with signature must be received by the position closing date in order to be considered a valid application. * * ** v.02/09/10 Employer Dates Employed From To Address Telephone Job Title Supervisor's Name Description of Duties Reason for Leaving Hourly Rate Start Final EMPLOYMENT EXPERIENCE - Please list at least three employers (present or most recent employer first). Attach additional sheet as necessary. PROFESSIONAL REFERENCES (Examples: supervisor, professor /teacher) Please list three professional references you have known for at least one year. Do not include friends or relatives. Name Address I authorize the investigation of all statements contained in this application for employment as may be necessary to determine my eligibility for employment. I certify that answers given herein are true and complete to the best of my knowledge and I understand that making false statements on this application or withholding information shall be grounds for disqualification or dismissal. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time. Signature Date Telephone Years Relationship ** *The City of Ramsey requires criminal background checks, motor vehicle checks, reference checks, physical examinations, and drug tests on finalists. An Affirmative Action/Equal Opportunity Employer. * ** * ** *The original city application with signature must be received by the position closing date in order to be considered a valid application. * * ** v.02/09/10