Personal Details

Tell us about yourself.

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* 1. First Name

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* 2. Middle Name

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* 3. Last Name

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* 4. Address

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* 5. Date of Birth

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* 6. Can you perform the job for which you are applying with or without reasonable accommodation?

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* 7. Have you ever served on any police/fire department?

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* 8. Type of Service

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* 9. Location/Department

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* 10. Dates of Service

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* 11. Reason for Leaving

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* 12. List any relatives working for the City of Auburn. Include their position/department/assignment.

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