Application For Employment Form - Seminole County Tax Collector
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4Applicant: Please retain the 2-page Applicant Brochure
Applicants Social Security # ___ ___ ___ - ___ ___ - ___ ___ ___ ___
:
GENERAL INSTRUCTIONS
Seminole County Tax Collector
Fax: 407-665-7603
Print this application;
Email:
Attn: Cynthia Torres
submit by fax, email, or in
Mail: PO Box 630, Sanford, FL 32772-0630
1101 E First Street * Sanford, FL 32771
person.
(An EEO [M F V H] Employer)
Applications MUST be
APPLICATION FOR EMPLOYMENT
legible and signed.
Only one application is
You may submit a photo if you choose
I.
INDIVIDUAL DATA
required if applying for
Date of Application ________ / ________ / ________
more than one position at
(mo)
(day)
(year)
a time.
Answer all questions
1.
Name ___________________________________________________________________________________
which apply to you.
(Last)
(First)
(Middle or Nickname)
For questions that do not
apply to you, insert “N/A”.
2.
Address __________________________________________________________________________________
If you need additional
Actual Place
(Number)
(Street)
space, put the information
of Residence
on a separate sheet and
_________________________________________________________________________________
return it with the
(City)
(State)
(Zip Code)
completed application. Be
sure to reference the
3.
Mailing Address __________________________________________________________________________
appropriate Item Number.
(If different
(Number)
(Street)
(City)
(State)
(Zip Code)
A detailed resume and
from above)
current picture may be
submitted, but is not
4.
Home phone ( ________ ) ________________
Cell Phone ( ________ ) _______________________
required.
(ext.)
Address or telephone
5.
Full Time: (40 hours)
Part Time: (20 to 30 hours)
Temporary:
number changes should
□ Customer Service
□ Customer Service
□ Seasonal
be reported promptly.
□ Greeter
□ Greeter
Applications will remain
□ Mail Courier
□ Driver License Examiner
current for six months
from date of notification.
6.
If a job requirement, are you willing to work overtime? □ Yes
□ No
II.
EDUCATION & TRAINING
7.
Are you a High School Graduate? ___ Yes
___ No
Have you obtained a GED? ___ Yes
___ No
8.
Have you ever been a member of the Armed Services? ___ Yes
___ No
If yes: Branch ____________________________________
Discharge Date ____________________________________
9.
Comments/Remarks (if any): ______________________________________________________________________________________
Are you seeking Veterans Preference for your application? ___ Yes
___ No
12. Dates
13. Credit
14. Type
15. Year
16. Major/
Colleges, Universities, Junior/Community Colleges attended or attending:
Attended
Hrs
of Degree
Obtained
Minor
10. Name
11. City/State
(From/To)
Earned
(Qtr/Sem)
___________________________________________
____________________________
_________
_________
_________
_________
_________
___________________________________________
____________________________
_________
_________
_________
_________
_________
*To receive credit for college coursework it is necessary that you supply Quarter/Semester hours earned in addition to dates attended.
Business, Technical, or Vocational Schools attended or attending
19. Dates
20. Actual
21.
22. Type
23.
(Correspondence Courses):
Attended
Duration
Credits
of Cert. or
Courses
17. Name
18. City/State
(From/To)
(Hrs/Days
Earned
Diploma
Taken/
/Mos/Yrs)
Complete
___________________________________________
____________________________
__________
_________
_________
_________
_________
___________________________________________
____________________________
__________
_________
_________
_________
_________
*If Correspondence Course, please identify as such.
24. Do you possess a valid* driver license? ___ Yes
___ No
*Valid: An issued license which has not expired nor has, within
If yes, answer the following. If no, explain in item #42
the past three years, been denied, restricted, revoked, or
suspended.
State: _________________________________________
DL #: _________________________________________
Date of Birth: __________________________________
25. Do you have a source of transportation to work? ___ Yes
___ No
Revised 10-2015
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