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EDUCATION/TRAINING High School Name of School Location (City & State) Graduated/G.E.D. Yes No College, University or Professional, Technical, Trade or Vocational School (Transcripts May Be Required) Name of School Location (City & State) Credits/Hours Dates Attended (Mo/Yr) to Major Degree Title Degree or Diploma Yes No Name of School Location (City & State) Credits/Hours Dates Attended (Mo/Yr) to Major Degree Title Degree or Diploma Yes No Name of School Location (City & State) Credits/Hours Dates Attended (Mo/Yr) to Major Degree Title Degree or Diploma Yes No Name of School Location (City & State) Credits/Hours Dates Attended (Mo/Yr) to Major Program Title Degree or Diploma Yes No SKILLS List other job related skills or training you possess, including fluency in language(s) other than English, etc. Computer Software – Indicate skill level (basic, intermediate or advanced) for each application Other Related Skills or Training Typing (wpm) PROFESSIONAL REFERENCES List those who are familiar with your work experience. 1. Name, Title Current Phone Number Organization/Business Email Address 2. Name, Title Current Phone Number Organization/Business Email Address 3. Name, Title Current Phone Number Organization/Business Email Address Form Revised 1/1/2012 Page 2 of 5
EMPLOYMENT HISTORY Beginning with your present or most recent employer, list your work record for the past 10 years. If additional space is necessary, please attach a separate sheet using the same format as on the application form. In evaluating your qualifications, preference will be given to experience during that period. However, if you feel that your work experience beyond 10 years is important, please include it. Include any periods of self-employment, military service, and any job-related volunteer experience. Provide an explanation of any gaps in employment. If more than one position has been held with the same employer, list each separately. Resumes are acceptable only for the description of duties section. Job Title Dates Employed (Mo/Yr to Mo/Yr or Present) Employer Supervisor’s Name Employer’s Address, City, State, Zip Supervisor’s Title Type of Business/Agency Supervisor’s Phone Number Hours Per Week # Employees Supervised Ending Salary May We Contact This Employer? Yes No Contact me first Duties: Reason for leaving or considering change: Job Title Dates Employed (Mo/Yr to Mo/Yr) Employer Supervisor’s Name Employer’s Address, City, State, Zip Supervisor’s Title Type of Business/Agency Supervisor’s Phone Number Hours Per Week # Employees Supervised Ending Salary May We Contact This Employer? Yes No Contact me first Duties: Reason for leaving: Form Revised 1/1/2012 Page 3 of 5
Page 1: EMPLOYMENT APPLICATION The Kitsap P
Page 5 and 6: BACKGROUND INFORMATION Name(s) Duri

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