Application must be completed and sent in with bid

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Application must be completed and sent in with bid Powered By Docstoc
					ALLEGHENY COUNTY DEPARTMENT OF HUMAN SERVICES PERMANENT VACANCY BIDDING SIGNATURE FORM DATE: DEPARTMENT: Human Services 06/11/09 – 06/25/09___

DIVISION: AAA/441 Smithfield Street, Pgh., PA 15222

JOB TITLE: Aging Care Manager 2/Caseworker __ NO. OF VACANCIES: One (1) position 543538-094 Entry Bureau/Assessment Unit

*Application must be completed and sent in with bid sheet.
NAME CURRENT LOCATION
PHONE NUMBER DATE OF

*APPLICATION

COUNTY SENIORITY DATE

WITNESS

RECOMMENDATION: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Supervisor/Department Head ____________________________________ Date ________________________ NOTE: Please forward to recommended Designee or Personnel Manager.