Employment-Job Application for LCFT-2

Lawrence County Fire Territory Application

Personal Information

Full Name
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Address
Position Applied For: (please bring certs to your interview)
EMPLOYMENT

Employment Eligibility

Are You Legally Eligible To Work In The U.S?
Have You Ever Been Convicted Of A Felony?

Education

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Graduate?

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Graduate?

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Previous Employment

Company / Individual
Address
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Company / Individual
Address
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References

(Professional Only)
Full Name

Section Break

Full Name

Full Name

Military Service

Are You A Veteran?
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Background Check Consent

If Asked, Are You Willing To Consent To A Background Check?

Disclaimer


Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.
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