TOMPKINS COUNTY APPLICATION FOR EMPLOYMENT

YOU MUST THOROUGHLY COMPLETE ALL OF THE FOLLOWING SECTIONS OF THIS OFFICIAL APPLICATION FORM WHETHER OR NOT YOU SUBMIT A RÉSUMÉ.

7. TITLE, YOUR NAME, ADDRESS, ETC.: (Interviewers will receive copies of pages 2, 3, 4, 5 only and any attachments.)
Title of Position: __________________________________ Final Approval _________________
Applicant's Name: __________________________________ Conditional Approval _________________
Address: __________________________________ Home Number: _________________
City/State/Zip Code: __________________________________ Work Number: _________________
Social Security Number: __________________________________ Driver's License Number:  _________________

8. EDUCATION: (If more space is required, attach additional sheets in the same format.)
High School/ 
GED 
Name and Address of School
 GED # Graduated? Date?
Accredited College or University
 Name and Address of School Major Total Credits Degree? 
Accredited College or University
 Name and Address of School Major Total Credits Degree?
Professional/ Technical School
 Name and Address of School Type of Course Total Credits Degree?
Other School or Special Coursework
 Name and Address of School Type of Course Total Credits Degree?

9. LICENSES: List below any licenses, certifications or other authorizations to practice a trade or profession.
Trade or Profession: License Number: Granted by:
Specialty: Date License First Issued: Registered From: ___________
Registered To:_____________
Trade or Profession: License Number: Granted by:
Specialty: Date License First Issued: Registered From:_____________
Registered To:_______________

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