Fillable Addendum To Employment Application (City of Galena)

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Addendum To Employment Application (City of Galena)

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ADDENDUM
TO THE CITY OF GALENA EMPLOYMENT APPLICATION
GALENA, KANSAS POLICE DEPARTMENT
COMPLETE THE FOLLOWING: DATE OF BIRTH: ____________________
High School Name(s) City/State Date(s) Attended Graduate (Y/N)
(Copy of High School Diploma / GED Required)
If GED, List name of school or approved facility and its location:
College/University Name(s) City/State Date(s) Graduate (Y/N)
(Copy of Degree(s) received must be attached)
If you are a veteran, please list the branch(s) of service and dates and include type of discharge received
to include the “RE” code.
Branch of Service Date of Service Type of Discharge “RE”
List your place of residence for the last five years with Mont/Year (To & From)
Please check all of your information / complete forms and supporting document and return city
application, this addendum and all completed forms to the city clerk’s office, 211W 7
th
ST, Galena,
Kansas 66739.
Note: At the time of interview you will be required to sign a release form to all access to any and all of
your records. This will include high school and college / university transcripts and credit information.
CLEAR
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Completed 14 July 2020

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