APPLICATION FOR EMPLOYMENT FRANK RUSSO by idv45773

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									APPLICATION FOR EMPLOYMENT





                  FRANK RUSSO

                    CUV ....HOGA COUNTY AUDITOR



1219 ONTARIO STREET •   ClEVELAhiO. OHIO .... ,1]   •   TELEPHOIllE 12Ul) 443-7010
Employment Application                                               Please print in inJc         Of   type all information required and aUach •
                                                                     resume, if available.


                                                                     PERSONAL                                Dale                                         _

Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Social Securily No                                                                                 _

Presenl Address            _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Telephone No                                                             _

Cily _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _513Ie _ _ _ _ _ _ _ _ _---LIp
                                                                  7



Are you legally eligible for employmel1l in the U.S.A.?
Person 10 notify in an emergency                                                                               Phone                          _

Position(s) applied for                                                                                Rale of pay expe.C1ed IS                       per year.

Would you work Full-Time                        Part·Time                 Specify days and hours of part-lime
Were you pre\liously employed by us1                        11 yes. when?                                                                                         _

Lisl any lriencls or relatives working tor us.

If your applicalion   IS   considered favorably, on what date will you be available lor work?                                                       20 __
Are thare In" eJIP8riflnCes, skills or qualifiClllions which you teel would especially iii you lor work with our                     orQani:zallon~           _




                                                      RECORD OF EDUCATION
Circle Highest Year Compleled:              ,    2    3     4   5     6     7    e        9     10      11      12
Dtd you graduale~ Yes [          I   No (         If "No", received GED?        Yes   r       J No I

                                                                       Dates
                   College or University                              Attended                                         Credll     Gradualiort     Degree or
                    Name & Address                                                                     Major           Hours         Dale         Cerllflcate
                                                                    From         To                                    Earrte",                   Awarded
                                                                    MolYr       MolY,




SPECIALIZED TRAINING AND OTHER QUALIFICATIONS

If applY"'9 for a clerical posilion: TYPING SPEED:                        WORD PROCESSING/COMPUTER SKILLS                                                     _


If you have recei\led TRAINING In any area which you feel is rele\lanl to the positiortlsl for whIch vau are applying, plea~e ~ubmilihe

lollowing inlormation (do nOI include training gained as 8 part of your education a~ de~cribed abovel.

Type of Training                      Organilauon                          Lenglh of Training                            SubJecl/slCovered





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SECTION II -           EXPERIENCE
In tne area below. pleast type or print legiblV past work ellpe,ience beginning with the most lecent emplovment. II the
dulles cna"Ged materiallV in the course of your service in anv ont' organization. indicate such chan'ijes clea'ly and 8S
emplovments. AttaCh elllr8 sheets, if necessary. VoluntH' wQtk may also be included ali emplovment. NOTE: I resume ma.,. t
PRESENT OR MOST RECENT JOB;

Employer's Name and Address                                                                                              _

Length of employment        FROM: mo _ _ "     _ _ _ _ TO: mo. _ _ "                        _
Reason for leaving                                                                                                           _

Position (job till. and classifIcation) _ _ _ _ _ _ _ _ _ _ _ _ Salary: beginning _ _----ending                              _
Duties performed                                                                                                         _




NEXT MOST RECENT JOB:

Employe,'s Name and Address                                                                                                  _

Langlt1 of employment           FROM: mo _ _ "                 _   TO: mo           'f'.          _
Ra.sonIOfleay;ng                                                                                                         _

PosiTion (job tillfl and c1assificalion)                               Salary: beginning                   endlOg        _
Duties performed                                                                                                         _




Employer's Heme and Addrau                                                                                           _

Lenglh of emp10ymenl            FROM: mo   ~~   "             _    TO: mo.           , ..
Reason for leaving                                                                                                       _

Posiuon (job title and classification) _ _ _ _ _ _ _ _ _ _ _ _ _ Salary: beginning                         endinCi           _

Duties performed                                                                                                         _




Employer's Name and Address                                                                                              _

Length of employment            FAOM: mo. _ _ , ..            _     TO: mo. _ _ "                     _
Rea&on for leaVing                                                                                                       _

PDsit,on (job lille end cl8$sificalion)                                 Selary: beginning                  ending                _
Dut,es performed                   .                                                                                     _




Emplover's Name and Address;                                                                                             _

Length of emplOVmenl            FROM mo _ _ "        _~~~_          TO. mo. _ _ , ..                  _

Reason lor leaving                                                                                                       _

Position hob title and class,flcation)                                  Salary: beginning                   ending   ~~.


Dulles performed
                                                  MILITARY SERVICE RECORD

    Were YOU in US Armed Forces?       Yes     I No I       II yes, wh", Branchl                                                         _

    Dales of duly   From.=~
                         _
                           __h
                                    = __~~T. ~=__=
                                    0..  , ..., _ Oft
                                                                         ~=
                                                                           Y_
                                                                                Rank 8t discharge                   _
    List duties in rhe service IncludlJig speciallra.ning



H.ve you e...er been convicted 01 a felony as an adull?          Yes I   J No (
PLEASE NOTE: Prior conviction for a mIsdemeanor or fetony by ;Iself WIll nOI preclude you from employmenl with the County
Audito"S OHice.


MISCEUANEOUS


Please lisl if you have ever been employed by Cuyahoga Counly, the Stale 01 Ohio or any 01 its Polilical Subdivisions.



                                                                                                     From                     T.
                                        Agency                                                  Month/Day/Vear          Month/Oav/Year




f'te.se ptovide verification of the 8bove employment and "CGrued SiCk Leave balance 10 Ihe Personnel Office If hired.




.
-- ---F"-'
                                                     REFERENCES fDo Not LiSl Relatives)



                                                                                                         1_'' ' ""_0'-1-'"""0­
CERTIFICATE OF APPUCANT; I Certify that all statements made in this application are true and complete to the best of my knowledge
understand that any false SlatemenlS of material facts will sublect me 10 diSQualification or dismissal.


                                                                                    SIG_TU~l         O' APPLICANT


             Subscribed and duly sworn before me according 10 law. by the .,boye named applicant Ihis                              _     day
of                                     _
                                                 20_        0'                    -----­ County of Cuyahoga and Stale 01 Ohio.
                                                                                    Oil",.,   1.".




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