Fillable Senatepageposition APPLICATION FOR SENATE PAGE (Arizona Senate)

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Senatepageposition APPLICATION FOR SENATE PAGE (Arizona Senate)

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The Senatepageposition APPLICATION FOR SENATE PAGE (Arizona Senate) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Arizona Senate

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APPLICATION FOR SENATE PAGE
ARIZONA STATE SENATE
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
(APPLICANTS
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.).
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
H
OW DID YOU HEAR ABOUT THE ARIZONA STATE SENATE 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:
J
ENNA LYON, DEPUTY SERGEANT AT ARMS, ARIZONA STATE SENATE
S
UBMIT BY POSTAL MAIL OR EMAIL: JLYON@AZLEG.GOV
EDUCATION
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Senatepageposition APPLICATION FOR SENATE PAGE (Arizona Senate)

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Completed 25 July 2020

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