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First Name
Middle Init
Last Name
Applying For Position
Present Address
City
State
Zip
Phone
Alt Phone
Yrs At Address
How long have you lived in Stark County
How long have you lived in Canton
U.S. Citizen
Have you ever been indicted or convicted of a misdemeanor?
If yes on misdemeanor conviction, give dates and explain each occassion and disposition of the charges:
Have you ever been indicted or convicted of a felony?
If Yes were the charges reversed or annulled?
If yes on felony conviction, give dates, Court, and Case No.:
The Civil Service Law prohibits classified employees from holding any position in a political office or club. Do you belong to any organization of this type at the present time?
Are you an elected official such as a precinct committee person?
Do you have a driver's license?
Do you have a Commercial Driver's License
If Yes, License No.
If Yes, License Type


Home > City Services > Civil Service > BOE Application Part 7