Police Officer Applicant Background Questionnaire - Sierra Vista Police Department Page 8
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2421.
EMPLOYMENT HISTORY: Show all employment beginning with most recent
employer.
Use the Continuation Sheet if
necessary.
Dates of Employment
Supervisor's Name
Name and Address of Employer
Job Title/Duties
Reason for Leaving
(Street, City, State)
and Phone Number
From
To
22.
LIST ALL COLLEGES OR UNIVERSITIES YOU HAVE ATTENDED (Beginning with the most recent):
Dates
Degree Received or
School
Course of Study
Attended
Total Credit Hours
23.
RESIDENCES: List all residences during the past five years. Use the Continuation Sheet if
necessary.
From
To
Street Address
City
State/County
AGENCY VERIFICATION:
INITIALS:
DATE:
INITIALS:
Employment Verified and Results Documented
Certificates or Degrees, Documentation in File
Residences Verified and Results Documented in File
AZ POST Form PH (Sept. 2015) Page 5 of 10
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