Application For Employment Court Of Justice Page 2

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Education – Any certifications/degrees may be requested at any time through the hiring process.
___ I have graduated high school. ___ I have a GED.
High School Name and Address or GED certification location address
_________________________________________________________________________________________________
1. College/University/Vocational/Military Name ______________________________________________________________
Address ______________________________________________________________________________________
Degree Name ______________________________________
Type of Degree ___________________________
Major_____________________________________________
Date Earned ____________________________
Date Attended From __________To _________
Hours Completed _______ Hours Carrying ______
2. College/University/Vocational/Military Name ______________________________________________________________
Address ______________________________________________________________________________________
Degree Name ______________________________________
Type of Degree ___________________________
Major_____________________________________________
Date Earned ____________________________
Date Attended From __________To _________
Hours Completed _______ Hours Carrying ______
3. College/University/Vocational/Military Name ______________________________________________________________
Address ______________________________________________________________________________________
Degree Name ______________________________________
Type of Degree ___________________________
Major_____________________________________________
Date Earned ____________________________
Date Attended From __________To _________
Hours Completed _______ Hours Carrying ______
Employment
List the most recent employment history first. Military experience may be listed in this section.
1. Date From __________ Date To _________ ( )Current Employer Name ____________________________________
Employer Address ______________________________________________________________________________
Employer Phone
____________________________________
Supervisor’s Name _______________________
Supervisor’s email ____________________________________
Average Hours Per Week __________________
Starting Salary _________________Last Salary ____________
Reason for Leaving _______________________
Number of persons you supervised __________
Job Title _______________________________
Duties ________________________________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
2. Date From __________ Date To _________ ( )Current Employer Name ____________________________________
Employer Address ______________________________________________________________________________
Employer Phone
____________________________________
Supervisor’s Name _______________________
Supervisor’s email ____________________________________
Average Hours Per Week __________________
Starting Salary _________________Last Salary ____________
Reason for Leaving _______________________
Number of persons you supervised __________
Job Title _______________________________
Duties ________________________________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
3. Date From __________ Date To _________ ( )Current Employer Name ____________________________________
Employer Address ______________________________________________________________________________
Employer Phone
____________________________________
Supervisor’s Name _______________________
Supervisor’s email ____________________________________
Average Hours Per Week __________________
Starting Salary _________________Last Salary ____________
Reason for Leaving _______________________
Number of persons you supervised __________
Job Title _______________________________
Duties ________________________________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________
_______________________________________ __________________________________________________________________

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