Page 2

 

GENERAL INFORMATION

YES NO
1.  HAVE YOU BEEN TERMINATED FROM EMPLOYMENT OR ASKED
     TO RESIGN WITHIN THE PAST FIVE YEARS? _______ _______
..
2.  ARE YOU NOW WORKING, OR HAVE YOU EVER WORKED FOR
     TAYLOR COUNTY? _______ _______
..
3.  DO YOU OR YOUR SPOUSE HAVE ANY RELATIVES PRESENTLY
     EMPLOYED BY TAYLOR COUNTY?  IF YES, PLEASE GIVE NAME
     AND DEPARTMENT. _______ _______
..
4.  MAY WE CONTACT YOUR PRESENT EMPLOYER? _______ _______
..
5.  HAVE YOU BEEN CONVICTED FOR A FELONY IN THE LAST SEVEN
     YEARS? _______ _______
.
6.  HAVE YOU EVER BEEN REFUSED A BOND APPLICATION? _______ _______
.
7.  DO YOU SPEAK ANY FOREIGN LANGUAGES? IF YES, LIST. _______ _______
    _______________________________________________________
  . 
EDUCATION Elementary High School College/University Graduate/Professional
School Name        
Last Year Completed 5   6   7   8 9   10   11   12 1    2    3     4 1    2    3     4
Diploma / Degree        
Course of Study        
.
Describe Specialized Training, Apprenticeship, Extra Curricular Activities, as it relates to the requirements of the job.

 

 
.
Skills and Qualifications:  Summarize as it relates to the job skills and qualifications acquired fromn employment or other experience.

 

 

Click Here to:    Return to Menu         Go to Page 3