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Online Temporary Employment Application
Online Temporary Employment Application
Online Temporary Employment Application
Answers are required in all fields.
POSITION APPLIED FOR:
First Name:
Last Name:
Former Name:
Street Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Kentucky
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Maine
Maryland
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Michigan
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Mississippi
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Montana
Nebraska
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New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Political Affiliation:
Democrat
Independent
Republican
Other
Primary Phone (include area code):
Secondary Phone (include area code):
Email Address:
Date of Birth (reqd. for background check) :
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
January
February
March
April
May
June
July
August
September
October
November
December
.
Please list the last school attended and degree received:
Graduation Date:
School:
Degree:
Do you speak Spanish fluently?:
Yes
No
Do you have a high school diploma?
Yes
No
Are you able to lift at least 50 pounds?
Yes
No
Do you have computer skills?
Yes
No
Are you an insured driver with transportation?
Yes
No
Are you able to stand for a long period of time?
Yes
No
Are you able to work in the evening and on the weekend?
Yes
No
Have you ever been convicted of a felony as an adult?
Yes
No
Employment History
(Please type or copy and paste from your resume):
1:
Employer:
Job Title:
Start date:
End Date:
Job Responsibilities:
2:
Employer:
Job Title:
Start date:
End Date:
Job Responsibilities:
3:
Employer:
Job Title:
Start date:
End Date:
Job Responsibilities:
CERTIFICATION OF APPLICATION: By submitting this application, I certify that all statements made in this application are true and complete to the best of my knowledge. I understand that any false statements of material facts will subject me to disqualification or dismissal.
Board of Elections
2925 Euclid Avenue
Cleveland, Ohio 44115
(216) 443-3200
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