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 APPLICATION FOR EMPLOYMENT <br /> CITY OF RAMSEY <br /> <br />PERSONAL INFORMATION Date: <br /> <br />RECEIVED <br />J U L 2 t~ 1991 <br />~,~'d ........ .... <br />,, Oql <br /> <br />~ FI~$'I' I~IDDLE <br /> <br />s~sttr " cnv - <br /> <br />PERMANENT ADDRESS <br /> <br />Are you 18 years or older? YES X NO <br /> <br />Phone Number (6 ! 2) <70 5037 <br /> <br />EMPLOYMENT DESIRED <br /> <br />Position Pol it-o Off~co-r <br /> <br />Date you SalaTy. <br />canstart 'rmmt:,-.r*4 ~+=n y reqmrea e:.:. 96: 5z'_.5 _ 00 <br /> <br />Have you filed an applicaUon here before? YES NQ X It' yes, give date <br /> <br />Have you ever been employed here before? YES NO. X If yes, give date <br /> <br />Referral Source: Ad (specify newspaper) <br /> <br />Walk-In Other M. P. R. ,q. <br /> <br />Are you now employed? YES NO Y U yes, may we contact your employer% <br /> <br />Are you available to work FULL TIME ,/- PART TIME .~ TEMPORARY UNTIL <br /> <br /> '? .... and Holidays <br />List hours available Any Shift; Rotatinq; Le .... neds; <br /> <br />EDUCATION Name and # of Years <br /> Location Attended Diploma/Degree <br /> <br />HighSch~l <br />Eoulder Hiqh Schoolt Boulder, Colorado 3 Diploma <br />College/T~de <br />Red Rocks Community College, Golden, CO. 2 A.A. Criminal Justice <br />o~ <br /> <br />Special Skills and Qualifications See At..*,P~Np6 ,mra~n~nC; .~hoo~-.c_ <br /> <br />List licenses held relevant to employment: <br /> <br />Type:Colorado Police Number: 9568 Class: <br /> <br />Exp. Date: <br /> <br />The City of Ramsey requires motor vehicle checks and drug and alcohol testing on alt qualified .job <br />applicants; and physical examinations for those positions involving physical labor. <br /> <br />An Affirmative Action / Equal Opportunity Employer <br /> <br /> <br />