Application For Employment - Clackamas County Vector Control District (Page 2 of 7) in pdf

SPECIAL SKILLS, QUALIFICATIONS, & CERTIFICATIONS

List and summarize any special certifications, skills and qualifications, volunteer activities, military training or

experience, or other training or other activities related to the job you are seeking. For military veterans, please

include information on any transferrable skills obtained through military education or experience that relate,

directly or indirectly, to the position for which you are applying.

_________________________________________________________________________________________

REFERENCES

List 3 non-relatives who are familiar with your skills, qualifications, work history and work performance.

NAME

OCCUPATION/RELATIONSHIP

YEARS KNOWN

TELEPHONE

1. _________________________________________________________________________________________

2. _________________________________________________________________________________________

3. _________________________________________________________________________________________

EMPLOYMENT EXPERIENCE

List your five (5) most recent jobs in order, starting with your present or most recent job. If self-employed,

give company name and supply business references. If you worked in a position under another name, please

give the name(s). DO NOT LEAVE OUT ANY JOBS.

Employer:______________________________________Supervisor’s Name: ______________________________

Address: ______________________________________________________________________________________

Telephone: ____________________________________________________________________________________

Your Job Position: ___________________________________________ From: ______________ To: ____________

What did you like most about your job? ____________________________________________________________

What did you like least about your job? _____________________________________________________________

Were you discharged from this job?

Yes

If No, what was your reason for leaving: _____________________________________________________________

Application For Employment - Clackamas County Vector Control District Page 2