State of Maine Employment Application - Free Download | Page 3
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State of Maine Employment Application Page 3
State of Maine Employment Application
Page 3 of 8 PER 3 - 12/08
Licenses, Certifications and Registrations
Name of License,
Registration or
Certification
License Number State of Issue Expiration Date
Important instructions for Completing Employment History
This portion must be accurate and complete. APPLICATIONS LACKING SUFFICIENT INFORMATION WILL BE
REJECTED. List your entire work history including part-time, temporary and volunteer jobs. List jobs in
reverse order, starting with your present or last job. List each promotion as a separate job. To evaluate your
qualifications we must have accurate and complete information on previous job tasks and levels of
responsibility. Part or all of your examination score may be based on your work history. Be thorough and
specific in the detailing of duties. SPECIAL NOTE: If additional space is needed, attach separate sheets.
Employer #1
From (mm/yy): To (mm/yy):
______________________ - ______________________
Complete Address and phone number:
Last Weekly Pay $
Your Title:
Hours/Week:
Number & Titles of Employees You Supervised:
Supervisor’s Name & Title:
Duties:
Reason for Leaving:
Employer #2
From (mm/yy): To (mm/yy):
______________________ - ______________________
Complete Address and phone number:
Last Weekly Pay $
Your Title:
Hours/Week:
Number & Titles of Employees You Supervised:
Supervisor’s Name & Title:
Duties:
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State of Maine Employment Application