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Applicable only If the position for which you are applying requires a driver’s license.
Note: Conviction will not necessarily exclude you from employment. Such factors as age at time of offence, rehabilitation efforts, recency and seriousness of the crime, immediate past employment record and relationship between offence and job requirements will be considered.
The state where you graduated or completed GED.
The information requested below is used to assist us in our compliance with Federal / State equal employment opportunity record keeping and reporting. Your response is voluntary and will not be used in any way to determine your eligibility for employment.
The acceptance or rejection of candidates is determined to a great degree by information provided here. Incomplete data may reduce a candidate’s possibility of employment. Please account for all time during the last five years.
Please give all the information requested for three persons other than former employers, relatives, county employees or officials who are familiar with your qualifications for employment.
This field is not part of the form submission.
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