Florida Legislature Employment Application Page 2
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5THE FLORIDA LEGISLATURE
EMPLOYMENT APPLICATION
Human Resources
Room 701, Claude Pepper Building
111 W. Madison Street
Tallahassee, Florida 32399-1400
◆
(850) 488-6803
FAX (850) 413-7984
◆
APPLICANT INFORMAT
ION
NAME
(Last, First, Middle)
(Prior)
HOME / CELLULAR TELEPHONE
(
)
MAILING ADDRESS
BUSINESS TELEPHONE
(
)
CITY, STATE, COUNTY, ZIP
EMAIL ADDRESS
Are you retired from any Florida State Administered retirement plan?
Yes
No
Date:
WORK PREFERENCE
EMPLOYMENT REQUESTED:
POSITION APPLIED FOR :
(check all that apply)
If you are not applying for a specific vacancy, please indicate your work preference:
Accounting
Editing/Proofreading
Management
Year-Round
Administrative Support
Printing/Reproduction
Information Technology
Session Only
Clerical/Secretarial
Investigation
Research & Analysis
Full Time
Communications
Support Services
Legal
Part Time
Economics
Legislative Assistant
Temporary
DATE AVAILABLE:
COUNTY PREFERENCE:
EDUCATION
A copy of your college transcript reflecting your highest level of education completed and degree received must be submitted with the completed application
INDICATE highest grade completed:
1 2 3 4 5 6 7 8 9 10 11 12
GED
College
1 2 3 4 5
Graduate School
1 2 3 4 5
DID YOU
IF NO DEGREE
DEGREE
MONTH/YEAR
MAJOR / MINOR
SCHOOL
GRADUATE?
NAME AND ADDRESS
GRADUATED
# HRS. EARNED
RECEIVED
QTR
SEM
YES
NO
High School
Community/
Vocational/
Technical/
College
College/
University
Graduate/
Professional
Other
LICENSES • CERTIFICATIONS • SPECIAL SKILLS
Please indicate typing, computer/wordprocessing skills, foreign language proficiency, professional or occupational licensure you currently possess.
Please provide a copy of certifications and licensures with the application.
Has any disciplinary action ever been taken against your certificate or license?
Yes
No
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