Fillable APPLICATION FOR HOUSE PAGE (Arizona House of Representatives)

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APPLICATION FOR HOUSE PAGE (Arizona House of Representatives)

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The APPLICATION FOR HOUSE PAGE (Arizona House of Representatives) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Arizona House of Representatives

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APPLICATION FOR HOUSE PAGE
ARIZONA HOUSE OF REPRESENTATIVES
1700 WEST WASHINGTON STREET
PHOENIX, ARIZONA 85007-2890
A
PPLICATION DATE: ____________________________________
N
AME: _____________________________________________________________________________________________________
A
DDRESS:___________________________________________________________________________________________________
S
TREET CITY STATE ZIP
P
RIMARY PHONE: _______________________________________ SECONDARY PHONE: _________________________________
E-
MAIL ADDRESS:______________________________________________________
A
RE YOU AVAILABLE TO WORK LATE HOURS WHEN REQUIRED? _________________________________________________________
H
AVE YOU SERVED IN THE MILITARY SERVICE? ______________________________________________________________________
D
O YOU HAVE A VALID ARIZONA DRIVER’S LICENSE? ___________ HAS IT EVER BEEN SUSPENDED/REVOKED? ________________
H
AVE YOU EVER BEEN CONVICTED OF A FELONY? ______________ SPECIFY: __________________________________________
L
IST LANGUAGES YOU SPEAK FLUENTLY OTHER THAN ENGLISH? ________________________________________________________
P
LEASE INDICATE THE POSITION/S FOR WHICH YOU ARE APPLYING.
F
ULL TIME
P
ART TIME IF PART TIME, PLEASE CIRCLE THE DAYS OF THE WEEK YOU ARE AVAILABLE TO WORK.
M
ONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
LIST THREE PERSONAL REFERENCES (NOT RELATIVES OR EMPLOYERS), TWO OF WHOM ARE ARIZONA RESIDENTS WHO HAVE KNOWN YOU
WELL DURING THE PAST YEAR
.
NAME AND ADDRESS
TELEPHONE
OCCUPATION
(A
PPLICANTS
SHOULD COMPLETE BACK PAGE)
PERSONAL INFORMATION
PERSONAL REFERENCES
N
AME OF
S
CHOOL AND
L
OCATION
D
ATES
/F
ROM
-
TO
G
RADUATED
?
PLEASE LIST COLLEGE CREDITS, DEGREES, PROFESSIONAL LICENSES, AND ACTIVITIES (HOBBIES, CLUBS, AWARDS, ETC.).
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
HOW DID YOU HEAR ABOUT THE ARIZONA HOUSE PAGE PROGRAM? ____________________________________________
NOTE: APPLICANTS MAY ALSO ATTACH A RESUME (OPTIONAL, BUT RECOMMENDED) TO THIS APPLICATION.
LIST EMPLOYMENT RECORD CHRONOLOGICALLY BEGINNING WITH MOST RECENT. GIVE COMPLETE AND FULL ADDRESS AND
TELEPHONE NUMBER. PLEASE COMPLETE SECTION EVEN IF YOU ARE ALSO SUBMITTING A RESUME.
P
LEASE
P
RINT
D
ATES
/
F
ROM
-T
O
E
MPLOYER
,
J
OB TITLE
&
A
DDRESS
T
ELEPHONE
N
UMBER
_______
_________________________________________________
APPLICANT SIGNATURE
PLEASE MAIL COMPLETED APPLICATIONS TO:
LEAD PAGE, ARIZONA HOUSE OF REPRESENTATIVES SUBMIT BY
POSTAL MAIL OR EMAIL: hpages@azleg.gov
EDUCATION
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APPLICATION FOR HOUSE PAGE (Arizona House of Representatives)

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Completed 20 July 2020

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