Resume Sheet For Registered Deputy Inspector Form Page 2
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1
2D A TES
EM PLO Y ER
D U TIES
M O N T H & Y E AR
N AM E O F P R E V IO U S E M P L O Y E R
Y O U R TIT L E :
F R O M
T O
D U TIE S :
AD D R E S S
T OT AL
Y E A R S
M O N T H S
C IT Y, S T A T E A N D Z IP C O D E
EM PLO Y ER S TE LEPH O N E #:
D A TES
EM PLO Y ER
D U TIES
M O N T H & Y E AR
N AM E O F P R E V IO U S E M P L O Y E R
Y O U R TIT L E :
F R O M
T O
D U TIE S :
AD D R E S S
T OT AL
Y E A R S
M O N T H S
C IT Y, S T A T E A N D Z IP C O D E
EM PLO Y ER S TE LEPH O N E #:
D A TES
EM PLO Y ER
D U TIES
M O N T H & Y E AR
N AM E O F P R E V IO U S E M P L O Y E R
Y O U R TIT L E :
F R O M
T O
D U TIE S :
AD D R E S S
T OT AL
Y E A R S
M O N T H S
C IT Y, S T A T E A N D Z IP C O D E
EM PLO Y ER S TE LEPH O N E #:
I authorize the City of Los Angeles Materials Control section to obtain current and previous employment
verifications. I certify that all statements on this application and attachments are true and complete to the
best of my knowledge. I understand that false, misleading or incomplete information shall be sufficient
cause for disqualification and other penalties prescribed by law.
PR IN T N AM E: __________________________SIG N AT URE: _____________________________DAT E: _______________
(USE A DDITIONAL P A GE S AS ATTACHM EN TS IF NEEDED)
IN.Form.50 Dep Exam (Rev. 03-29-2016)
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