Voluntary Affirmative Action Questionnaire Chelan County / /
Country
Grenada / Lebanon / United States / Panama / /
Facility
EDUCATION High School College / University Location / /
IndustryTerm
present employer / equal opportunity employer / /
Organization
EDUCATION High School College / POSITION APPLIED FOR DATE OF APPLICATION LAST NAME FIRST NAME MIDDLE NAME MAILING ADDRESS MILITARY SERVICE / National Guard / Reserve and National Guard Service / United States Marine Corps / U.S. military / Chelan County Clerk’s Office / /
Position
Name State Last Salary Zip Supervisor / Street Address Total Months Worked City Supervisor / Total Months Worked City Supervisor / Name Last Salary Zip Supervisor / Street Address Total Months Worked City State Supervisor / /
APPLICATION FOR EMPLOYMENT (Please type or print with black ink) Chelan County Clerk Chelan County Courthouse