Highway Department Seasonal Application
































Reference 1 (three required, no relatives)










Reference 2 (three required, no relatives)








Reference 3 (three required, no relatives)








Work History













Education
















Applicant's Statement
The fact set forth on this application are true and complete. I understand that any false statement is cause for immediate dismissal. I also understand that taking a vacation during my summer employment and/or failing to notify my supervisor if I will be absent could result in my immediate dismissal. I further understand, depending upon the position or program to which I am assigned, I will be obliged to work weekends, and at the hours and location the position requires. I am or will be 16 years of age on or before July 1st of this calendar year. I understand by submitting this application, it is not an offer or guarantee of employment. (Legal Name Required)

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