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APPLICATION FOR EIvlPLOYMENT <br /> CITY OF RAMSEY <br /> <br />t'!.,;RSONAL INFORMATION Date: 07-24-91 <br /> <br />,4A~ Galchutt Heidi <br /> <br />PERMAN~. NT 6DP, I~ES $ <br /> <br />Are you 18 ye.~r$ or older?. <br /> <br /> MIZ~D~ <br /> <br />919 Douglas Street, A~e~andri~, MN 56~Og <br /> <br />9101 Knox Avenue South, Bloomington~ MN 55631 <br /> <br />YES X NO . <br /> <br />Phone Number ~12) 888-8677 <br /> <br />EMPLOYMENT DESIRED <br /> <br /> Police Officer <br />Position <br /> <br /> Salary $26,545 <br />Date you August 16th requi3ed <br /> <br />Have ycm filed an application here before'.,' YES Nt.~ X If yes, give date , <br /> <br />Have you ever been employed here before? <br /> <br />Referral Source: Ad (specify newspaper) <br /> <br />Are you now employed? YES ~ NO . <br /> <br />Ate you available to work FULL TIME Yes. <br /> <br />List bou~s available Full <br /> <br /> YES NO X ff yes, give date <br /> <br /> Walk-In Other MPR____S <br /> <br /> ff yes, may we contact your employer?. Yes. <br /> <br /> PART TIME Y~-q TEMPORARY UNTIL ~es. <br /> <br />time~ part time, or_ seasonal. <br /> <br />EDUCATION Name and # of Years <br /> Location Attended DiplomaIDegree <br /> <br />Kennedy High School, 9701 Nicollet Av., B~cmm'~=v,,,,, _m._! 55431. 3 y~_mr~q: Di¢loma <br />High School <br />Concordio. Co]]~_? .qv P~,,~ 275 N. Syn~14c~t~ .qr.:_P._a.ul. MN 55]o~:lyear, N/A <br />College [ Trade <br />Bemidji State University, 1500 B4rchmont Dr,,Bemidji, MN 56601, 3 years. A.S./R.S. <br />Oth~; ~ <br /> Alexandria Techn%cal Co]l~o: 1601 Jefferson St.. Altec.: ~ ~6~08, 3 months, N/A <br /> <br />Special Skills and Qaalifications <br /> <br /> Nat5 nnml C. r4.~ Pro~nv4~ T,_~tit,_,te, PR-24 certified 08-Oq-q]: Advmnc~ct <br /> First Aid and Emergency Care, 350 clinical hours as. a student trainer, Radar...08_09_91 <br /> <br />Hazardous Materials Q8-09-91 <br />List licenses hold relevant to employment: ' <br /> <br />Type: <br /> <br />Minnesota D.L. <br /> <br />Number: G-423-302-108-440 Class:~xp. Date: 06-12-92 <br /> <br />The City of Ramsey requires motor vehicle checks and drug and alcohol testing on ali qualified job <br />applicants; and physical examinations for those positions involving physical labor. <br /> <br />An Affirmative Action / Equal Opportunity Employer <br /> <br /> <br />