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Application for Employment

Thank you for your interest in our dynamic forensic team! Please complete the application entirely for review. All applications must have a detailed CV/resume attached for consideration.

What position are you applying for?*

First Name*

Last Name*

Former / Maiden Name(s)

Email*

Phone*

Address*

______________________________________________________________________

Current Employer

Employer Name and Address*

Position/Title*

Current Supervisor Name/Contact Info*

____________________________________________________________________

Previous Employer(s)

Employer Name and Address*

Position/Title*

Supervisor Name/Contact Info*

Previous Employer(s) Comments:

_____________________________________________________________________

Availability

Per Diem Forensic APPs are required to submit a miimum of 48 hours per month of on-call availability. There is no maximum number of hours that can be submitted. Please list the days of the week and hours that you are available.

Days of Week:*

Sun

Mon

Tues

Wed

Thurs

Fri

Sat

Shift/Hours available:*

Days 5a-11a

Days 11a-5p

Day Swing Swing 1p-7p

Evenings 5p-11p

Evening Swing 7p-1a

Nights 11p-5a

Days/Hours available comment:

_______________________________________

Education

Highest Degree Earned*

Doctoral Degree

Master's Degree

Bachelor's Degree

Associate's Degree

Institution Name*

City/State*

Date of Graduation*

Additional Education Background*

______________________________________________________________________

Background

Have you ever been convicted of a crime other than a minor traffic infraction?*

Yes

No

If yes, please explain

Have you ever had board action or an investigation against your professional licensure?*

Yes

No

If yes, please explain

Have you ever been terminated or asked to resign in leu of termination?*

Yes

No

If yes, please explain

______________________________________________________________________

Please provide details about why you are interested with employment with our agency?*

Please provide any details or skills that sets you apart from other candidates?*

1430 Oak Court, Suite 308A Beavercreek, Ohio 45430

P:1-866-419-7263 * F:1-866-444-7263 * 24/7 Dispatch: 1-866-285-7263
Backup Dispatch Line: 1-513-673-2790

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