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APPLICATION FOR EMPLOYMENT
VILLAGE OF GERMANTOWN FIRE DEPARTMENT
(262) 253-7795
POSITION APPLIED FOR: ___________________________________
LAST NAME: _______________________________________ FIRST NAME:____________________
STREET:____________________________________________________________________________
CITY: ___________________________________________ STATE: _______________ ZIP: ________
HOME TELEPHONE: _______________________ BUSINESS TELEPHONE: _____________________
SOCIAL SECURITY NUMBER: ________________________ [ ] CHECK IF YOU HAVE NO SSN
HIGH SCHOOL ATTENDED: ____________________________________________________________
CITY/VILLAGE: ____________________________________ STATE: ____________________________
DID YOU GRADUATE? [ ] YES [ ] NO GED CERTIFICATE : [ ] YES [ ] NO
COLLEGE ATTENDED: __________________________________________________________________
CITY: _________________________________ STATE: _____________ FROM (MO/YR TO (MO/YR)
DID YOU GRADUATE? [ ] YES [ ] NO DEGREE/MAJOR: ______________________________