Personal History Statement (Phs) Page 8
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24Akron Police Division
Personal History Statement (PHS)
Dates of employment
Name and complete address of employer, include zip code
Name and Title of Supervisor
Telephone No.
From
To
Mo. Yr.
Mo. Yr.
/
/
Job title and duties (for identification purposes)
Present
Co-Workers
Full-Time
Name:
Yrs.
Part-time
Ph. No.:
Voluntary
Name:
Mo.
Ph. No.:
Reason for leaving.
Mo.
Yr.
Mo.
Yr.
Not employed
From
/
To
/
Dates of employment
Name and complete address of employer, include zip code
Name and Title of Supervisor
Telephone No.
From
To
Mo. Yr.
Mo. Yr.
/
/
Job title and duties (for identification purposes)
Present
Co-Workers
Full-Time
Name:
Yrs.
Part-time
Ph. No.:
Voluntary
Name:
Mo.
Ph. No.:
Reason for leaving.
Mo.
Yr.
Mo.
Yr.
Not employed
From
/
To
/
Dates of employment
Name and complete address of employer, include zip code
Name and Title of Supervisor
Telephone No.
From
To
Mo. Yr.
Mo. Yr.
/
/
Job title and duties (for identification purposes)
Present
Co-Workers
Full-Time
Name:
Yrs.
Part-time
Ph. No.:
Voluntary
Name:
Mo.
Ph. No.:
Reason for leaving.
Mo.
Yr.
Mo.
Yr.
Not employed
From
/
To
/
Dates of employment
Name and complete address of employer, include zip code
Name and Title of Supervisor
Telephone No.
From
To
Mo. Yr.
Mo. Yr.
/
/
Job title and duties (for identification purposes)
Present
Co-Workers
Full-Time
Name:
Yrs.
Part-time
Ph. No.:
Voluntary
Name:
Mo.
Ph. No.:
Reason for leaving.
Mo.
Yr.
Mo.
Yr.
Not employed
From
/
To
/
Page 8 of 24
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