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I <br />• NORTH OLMSTED CIVIL SERVICE EXAMINATION <br />APPLICATION FOR FIRE FIGHTER <br />PAGE 2OF2 <br />AN EQUAL OPPORTUNITY EMPLOYER <br />VA - <br />SCHOOL: (Circle the highest grade completed in regular school) <br />COLLEGE (Years Completed) <br />1 2 3 4 5 6 7 8 9 10 11 12 <br />1 2 3 4 5 6 7 <br />TYPE OF SCHOOL NAME OF ATTENDED <br />DID YOU # OF CREDIT DEGREE <br />SCHOOL FROM TO <br />GRADUATE? HRS. COMP. RECEIVED <br />Elementary <br />NAME/TITLE OF IMMEDIATE SUPRV:: <br />Salary or Wage <br />Starting per <br />Final per <br />High School <br />Total Hrs. Per Week: <br />Reason for leaving: <br />performed by you with estimated PERCENTAGE OF TIME on <br />each type of work. State size and kind of working force, if any, <br />College, University, or <br />Length of Employment <br />FIRM NAME: <br />FIRM ADDRESS: <br />TYPE OF BUSINESS: <br />From: Mo. Yr. <br />Professional School <br />YOUR TITLE: <br />Total: Yrs. Mos. <br />NAME/TITLE OF IMMEDIATE SUPRV:: <br />Salary or Wage: <br />Starting per <br />Technical or Business <br />Final per <br />DUTIES: Describe above the nature of the work PERSONALLY <br />Total Hrs. Per Week: <br />Reason for leaving: <br />performed by you with estimated PERCENTAGE OF TIME on <br />School <br />supervised by you and extent of such supervision. <br />Other Schools or Courses <br />13. Work Experience if you need more space, use additional 8 1/2 X 11" sheets. Describe your duties fully. If you held several <br />different positions with the same employer, list each separately. Begin with the most recent employment and work backward <br />consecutively. <br />r <br />Length of Employment <br />FIRM NAME: <br />FIRM ADDRESS: <br />TYPE OF BUSINESS: <br />From: Mo. Yr. <br />To: Mo. Yr. <br />YOUR TITLE: <br />Total: Yrs. Mos. <br />NAME/TITLE OF IMMEDIATE SUPRV:: <br />Salary or Wage <br />Starting per <br />Final per <br />DUTIES: Describe above the nature of the work PERSONALLY <br />Total Hrs. Per Week: <br />Reason for leaving: <br />performed by you with estimated PERCENTAGE OF TIME on <br />each type of work. State size and kind of working force, if any, <br />supervised by you and extent of such supervision <br />Length of Employment <br />FIRM NAME: <br />FIRM ADDRESS: <br />TYPE OF BUSINESS: <br />From: Mo. Yr. <br />To: Mo. Yr. <br />YOUR TITLE: <br />Total: Yrs. Mos. <br />NAME/TITLE OF IMMEDIATE SUPRV:: <br />Salary or Wage: <br />Starting per <br />Final per <br />DUTIES: Describe above the nature of the work PERSONALLY <br />Total Hrs. Per Week: <br />Reason for leaving: <br />performed by you with estimated PERCENTAGE OF TIME on <br />each type of work. State size and kind of working force, if any, <br />supervised by you and extent of such supervision. <br />THIS PAGE MUST BE RETURNED IN YOUR APPLICATION PACKET <br />11 <br />