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Get NV HRD.SSP-F107 2012-2024

Junction with this application is true and accurate. EMPLOYEE/APPLICANT SIGNATURE: ____________________________________________________________ [HUMAN RESOURCES USE ONLY] APPROVED DISAPPROVED REASON CODE INITIALS POSITION 1 POSITION 2 POSITION 3 POSITION 4 POSITION 5 REASON CODES: 1: CPR/AED/First Aid 2: Health Card 3: Typing/Keyboard Test (______wpm) 4: H.S./Degree 5: NV Driver’s License (Class C, B, or A) 6: DMV Printout 7: Experience 8: Certifications(s): ______________________________.

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