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LAW ENFORCEMENT

EMPLOYMENT APPLICATION FORM

The Sheriff's Ofce is an Equal Employment Opportunity Employer. We consider applicants for all positions

without regard to race, color, national origin, sex, age, disability, marital status, religion or any other legally

protected status.

NOTICE: The following additional documents must be attached to this application:

1. A certied copy of birth certicate

2. A certied copy of high school diploma or Florida Police Standards approved G.E.D.

3. A copy of military discharge(s).

1. Full Name:

2. Other: List all other names you have used including circumstances and time periods you used them. (For example:

maiden name, former name(s), alias(es), or nickname(s).

Last Name First Middle Abbv.

Dates From Dates To

Name Circumstance Mo./Yr. Mo./Yr.

INSTRUCTIONS

Application must be typewritten or printed legibly in ink. All questions must be answered. Applications which are not complete

will not be considered. If space provided is not sufcient for complete answers or you wish to furnish additional information,

attach sheets of the same size as this application, and number answers to correspond with questions.