Street
Town/City
State Zip
Give details:
4.
Have you or has any partnership or corporation in which you have a principal interest ever been adjudicated bankrupt, either voluntarily or involuntarily?
If yes, give details:
5.
List the information requested below concerning persons who may attest to your character, integrity, and fitness for the position of Public Safety Officer. List four (4) personal and three (3) business references (supervisors and co-workers). Do not include relatives for personal references.
Personal
A.
Name
Phone
Street
Town/City
State
Zip
B.
Name
Phone
Street
Town/City
State
Zip
C.
Name
Phone
Street
Town/City
State
Zip
D.
Name
Phone