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.UNSAL~RIE. , 13 EXPERIENC~E <br /> Volunte'ero i~ Organization: II (J~)' _Address: . , /} ,a /~ ~ ~ Phone~ No. <br /> Position Held: _ n ~ _ g~ ~ ' ~.~ ~ Immediate Supervisor <br /> <br /> Specific Duties Perform~ or Skil~ Acquired: . .f) ~ ~ ~ , ~ /) ~ e Dates ~ Par~cip~t~n <br /> Volu~eer ~ani~lion: ~ddre~: <br /> <br /> Spec'fic B ~ies Pe~rmed or Skills Ac uire ~ ~ .~ ~ ~ Bates of Part[cipation <br /> <br />OPllO~k: kist ang~her ,killx or experience ~hich gou fee~at~ ~h~ifion includin~ machinerg or equipment gou can <br />operate, service record, ii desi[ed, c~erical skil~, or technica~ kno~led~. In addition all applicaht, ~re encoura~d lo include ang addi- <br />tional information theg wish to ~u~port their application. Ple~ li~t ang attach~nt~ or en~o~e~n the "O~ther"~t~on <br /> <br /> Types of Machine~ or Equipment Operated; <br /> <br />Military Service: From_ to ~ duties <br /> <br />The primary reason for 'submitting this application is to gain employment; however, please state briefly what prompted you to seek em- <br />ployment specifically with the City of Ramsey. <br /> <br />APPLICANT STATEMENT AND SIGNATURE <br /> <br />I certify that all answers and statements made by me on this application are true and correct. I agree and understand that any false an- <br />swers or statements made by me on this application may cause rejection of this application or termination of employment without prior <br /> <br />Signature ~ Date <br /> <br /> <br />