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\. <br />Please return to:fcITY OF OROfiO <br />BOX 66 <br />CRYSTAl BAY, MINM. 55323 <br />Date Received <br />CITY OF ORONO <br />APPLICATION FOR EMPLOYMENT <br />Dear Applicant, <br />We welcome you as an applicant for employment. Your application will be considered with others. <br />It is our policy to provide equality of opportunity in employment. This policy prohibits discrimination <br />on the basis of rac^oolor, religion, national origin, political affiliation, disability, marital status, sex or <br />age (between 40 and 65) in all aspects of our personnel policies, programs, practices and operations. This <br />policy apply to full, part-time, temporary, andij^asonal employment. <br />The information contained in this application will be considered personal and confidential and used <br />only in conjunction with your possible employment Please furnish us with complete Information. You <br />are encouraged to attach any additional information which you believe qualifies you for the position. <br />Please use INK OR TYPEWRITER. <br />1. Title or Kind of work applied for:Permanent Part-time Date Available: <br />Temporary------Seasonal <br />2. PERSONAL INFORMATION <br />3. Name Last <br />_________ <br />First Middle Social Security No. <br />4. Present Addr.-iS City County . State Zip Code <br />Cff}t^Sfc¥)e Dt /)JA/_____ <br />5. Home Phone No.Work Phone No. <br />6. Do you have any Physical or Health limitations which srfect your work perfor ’ <br />Ves <br />If you have answered yes, please use an additional sheet to c> ' : <br />7. . - If you are not a citizen of the United States, do you have Bureau of Immigration approval to work <br />lnthcU.S.? Yes -- - No -------- <br />EDUCATIONAL INFORMATION (To be completed only If education is a job requirement) <br />8. -Circle the highest Grade School High^hool College^ Post Graduate <br />-- grade completed 1 2 3 4 5 6 7 8 9 10 1l([?orGED 131415(g MA Phd Lib “