REV 04/2018
SAN BERNARDINO COUNTY SHERIFF’S DEPARTMENT
EMPLOYMENT INFORMATION AND RESIDENCE HISTORY
List all current employers.
Name of Employer:
Phone Number:
Job Title:
Hire Date:
Job Description:
Name of Employer:
Phone Number:
Job Title:
Hire Date:
Job Description:
List your last 4 addresses, starting with current address.
From:
To:
Current
Address:
From:
To:
Address:
From:
To:
Address:
From:
To:
Address: