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Cornelius Part Time Animal Control Officer Interest Card

YOUR CONTACT INFORMATION
First Name*
Last Name*
Address 1*
Address 2
City*
State*
Zip*
Date of Birth*
Date of Birth
Email*
Day Phone*
Evening Phone*
Preferred Method of Contact*
Have you ever used any illegal drugs? If yes, explain. *
1. Yes
2. No
Explain:
Do you have any experience working as an Animal Control Officer or experience in dealing with all types of animals? *
How did you hear about us?*

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1. Receive an email copy of this form.
Email address

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