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Fort Walton Beach Council agenda — 02-28-06 ‎(workshop)‎ — reading text

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Oj1, ~ 1 F I J j'rJ C Have you ever been discharged from employment because your work or conduct was not satisfactory? [ ] Yes [ 41<fu Z Have you ever been convicted of a criminal Drug or Alcohol Offense? [ ] Yes [ T'fu L.}' 0 If yes, please give dates and explanation fit ~l1- a:: C> Have you ever been convicted of a felony? [ ] Yes r- tr:f~ 0 tI {.+ If yes, please list each offense ; m An affinnative answer will not automatically disqualify you from being considered as a candidate for employment. C> f(eoSJ, - ' 1, '\. tC>'- Please list all current and/ or previous employment. Begin with your current or most recent position and list all previous positions in chronological order, If additional space is needed please submit supplemental sheets, resumes may be included. May we contact yom: current employer? I r~' es [] No If No, explain , 1I'/ jf orl, n- ,'f ,.. vJ,- J 1., II/. . EmployerName 1J'( f" tvtJ1.., )-j'rf.'"~ J /'/ r-w-" r' , Dates of Employment'..,' ' or v/"( r I,," I - /""/-"')"~" t 2. PC" H rj;- r-~1- .., l11rtr- ... Address f. l" , 1'( J. ("f~ '-s;, ,.; ff le..,;'-,; (;- 1 : 5 eJ (, 3 f 1" J d'!~' Salary ( Beginning & Ending) ::? Kf '.'41/( . v;:. u1" s Name 1 h' I Stlp'" J 1~/'! ' Position Held .... J(" /"; i/"'{/ ",).-- ( Part/ ~~~ Reason for Leaving f".......' f) (, ," Duties/Responsiblites. 7 j, ../.. , rJ / r~ ) I/ fl.,11 ,-f'Vi" l " t!(, C/ 1'1\1"("1 , r,'^,., l ,:~ c-., 7 h I 1 7" ;' I) I' J ] '. . . . 1 '" '. Cf"~ C",,, {(od" 6 v, l, ! { I'" t: ( n -&'I{ (- N I T, t !, h C, t G, 4" S. . '. . . / ( Qv11. 1,/(t r i t; I, ., ' i II V"" , I1' v t, t";' I j,~ Jj f'l:( Ir,<" r' J{!.'( 1I1) dJ:}T {,-

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