PROFESSIONAL DEVELOPMENT & TRAINING COORDINATOR APPLICATION

Proof of citizenship, permanent resident status or immigration status entitling you to engage in employment in the U.S. will be required prior to employment.

Conviction will not necessarily disqualify applicant from employment


EMPLOYMENT EXPERIENCE

Start with your present or last job. Include military service assignments and volunteer activities.

Date Started at Job

Date Job Ended

Supervisor's Number

Date Started at Job

Date Job Ended

Supervisor's Number

Date Started at Job

Date Job Ended

Supervisor's Number

EDUCATION

Elementary/Middle School

High School

College/University

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APPLICANT STATEMENT

I certify that answers given herin are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not a contract of employment.

If offered employment, I further understand that I may be required to pass a job-related physical examination.




UNDER MARYLAND LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO EXCEED $100.00

The term "appllicant for employment or prospective employment or any employee" as used in this subtitle does not include: (i) A law enforcement officer as defined in 727 of Article 27, (ii), Any employee of any law enforcement agency of the State of Maryland, or any county, incorporated city or town, or other municipal corporation.

I hearby acknowledge that I have read and fully understand the above.

The Vietnam Era (8/64-1/73) Veterans Readjustment Assistance Act enables us to give special employment consideration to qualified veterans. Providing this information is voluntary and will not result in adverse treatment.