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Job Interest Form

Print, complete and mail this form to:
City of Fort Lauderdale, Human Resources, 100 North Andrews Ave. Fort Lauderdale, FL 33301

List below all positions in which you are interested. The Human Resources Division will notify you when applications are being accepted. Your name will stay on file for two years. If you do not hear from us within that time, it is because we had no vacancies occur in your area of interest and you will need to submit a new interest form.

Thank you for your interest in employment with the City of Fort Lauderdale.

PLEASE PRINT
 
Job Title
Class No.
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Job Title
Class No.
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Social Security No. _________________________________ Date: ______________
   (Mandatory information to allow for computer identification)

Name ____________________________________________________________________

Address __________________________________________

City ______________________________ State ______________ Zip Code _______________________

Telephone number (including area code) _____________-_____________-_____________

Current City Employee (check one): _____ Yes       _____ No

The City of Fort Lauderdale is an Equal Opportunity, Affirmative Action employer. The information requested below is sought in good faith to assist us in complying with federal law and to evaluate the effectivemess of our program. We appreciate your cooperation.

 
Race or Ethnic Group (check one)
  
Sex
___ 1. Black (not of Hispanic origin) ___ Male
___ 2. Asian or Pacific Islander ___ Female
___ 3. Hispanic (regardless of race)    
___ 4. American Indian or Alaskan Native    
___ 5. White (not of Hispanic origin)    
___ 6. Others (all persons not covered by a specific category)