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Date of Application

For positions which require a high school graduation or GED or a college degree, a copy of the high school diploma/GED certificate or college diploma/transcripts may be required.

(Optional, unless required for the position for which you are now applying.)

Related person’s name, department & relationship

Provide information regarding all paid employment (include military employment if duties/assignments relate to the job you are applying for). Volunteer work which may be related to the position for which you are applying should also be provided. Describe your most recent position first; then list other positions in order held. Do NOT use references such as “See Resume” in place of completing this section.

Please READ ALL of the following statements and INITIAL EACH of the lines to indicate you have read and understand each of the statements. If you have any questions, contact North Lyon County Fire Protection District Human Resources Department.

By typing your name above you are acknowledging that this serves as your digital signature.

Fields with (*) are compulsory.