Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Last 4 Digits of SSN {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Current Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How long have you lived here? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Previous Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If so, when? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What Department? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please list any relatives employed by the City of Sumter
Relative {binding ItemNumber}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Department {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Expiration Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Restrictions {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Expiration Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Restrictions {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
If yes, please explain and provide dates: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
NOTE: Conviction does not necessarily bar you from consideration for employment.
If yes, please give date, name and address of employer, and reason. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
A firing or forced resignation does not automatically mean that you cannot be employed. The circumstances, time elapsed, and recent employment record will be considered. However, failure to be completely honest and accurate about such circumstances may cause your application to be disqualified for consideration.