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C ounty E nterprises
EMPLOYMENT APPLICATION
Provide all information requested by printing in ink or keying. Use the tab key to move through the document.
GENERAL INFORMATION
Name (Last) (First) (Middle Home Telephone
Wilcox Charlotte Initial) (478) 319 - 6065
Address (Mailing Address) (City) (Stat (Zip)
L Cell Phone
107 Oglethorpe Forsyth e) 31029 (478) 832 - 7783
E-mail Address GA
s.charlotte.wilcox@mcschools.org
POSITION
Position or Type of Employment Desired Will Accept:
Part-Time Full-Time
Have you ever been employed at the Monroe County Enterprises before?
Yes No
Date Available:
Are you able to perform the essential functions of the job you are applying
for, with or without reasonable accommodation? Yes No
Salary Desired
$___________ / monthly
REFERENCES
List below names and addresses of persons who are qualified to answer questions concerning your fitness for the
position(s) you seek other than those listed in your credential file. (3 classmates from THIS class. Get a sheet of
paper and Go to the L Drive folder REFERENCES jot down the information and come back to this
document and type it in.)
I certify the information contained in this application is true, correct, and complete. I understand that, if
employed, false statements reported on this application may be considered sufficient cause for dismissal.
You will enter an electronic signature. Click in the gray box beside Signature of Applicant select any
script or cursive style font type your first and last name (capitalize the first letter of each).