WPCL  N{{"+SN"dOVUDP,y]qIz6*~ͮ Ɍ`.-NN"xYQvƍ2]$*Cdz"-R@aq̕q";fN'TupKq&0p@1ɤcg?z_h MT&ۮPA N6EPBQdY=dpŽS0\黙CkHup+D99+7&^V0Uoe3wd3)ɭ؁X!nKU}N %F 0(L t @b6 o ?(-# 0cU$ 1u$ 0w-% 0% 0.& 0& 0' 0I( 0$) 1***^ *w*4*** m* 0D+EV+@bX+o+?(OBfwCfyCa{CaCCfiDakD#DDfHGaJGf^Ga`GtG:HIII 72INJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ 0DJJ BTJTJ BqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJqJ D-JJJ 0KJKK AKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK B5kL(hH  Z6Times New Roman RegularX($ '  _ @h  @t XX @  @ A`) xdEX(#AD:\Corel\Suite8\Graphics\ClipArt\logo_jud.gifWPCQQddddddQQ @̙̙̙fffffffffffffff3f3ff333f3ff3f333f333333333333Bdd}  "" $$ !$ #     "    $ &"     !  &          % &&  && &&  !  &    &# " && &    $   & &  &#& "&! &$&  &!&& "  &  &   &&!       &&   &         $!  &   &        &      &&  &            "&   &$    &              "  " &   &   &      &    &         " &    &              $     "          & &  !   & && &   &      & &  &  &&  &  && &&& &% &! &  "   &&&&& & &  && && &&      "  &  &             " " & "    @\D:\Corel\Suite8\Graphics\ClipArt\logo_jud.gifD:\Corel\Suite8\Graphics\ClipArt\logo_jud.gif [hhJ\ [Leve(;3$2#  0  .3  0  3#37=CIQYag1.a.i.(1)(a)(i)1)a)(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(# xAGaeimquy}Bullet ListBullets ListC:\TEMP\~0025362.wpt빑7  Cv6K(Backup3|xU(3$ !  D:\Corel\Suite8\Graphics\ClipArt\logo_jud.gifWPCQQddddddQQ @̙̙̙fffffffffffffff3f3ff333f3ff3f333f333333333333Bdd}  "" $$ !$ #     "    $ &"     !  &          % &&  && &&  !  &    &# " && &    $   & &  &#& "&! &$&  &!&& "  &  &   &&!       &&   &         $!  &   &        &      &&  &            "&   &$    &              "  " &   &   &      &    &         " &    &              $     "          & &  !   & && &   &      & &  &  &&  &  && &&& &% &! &  "   &&&&& & &  && && &&      "  &  &             " " & "    @\D:\Corel\Suite8\Graphics\ClipArt\logo_jud.gifD:\Corel\Suite8\Graphics\ClipArt\logo_jud.gif [hhJ\ [d:L0*TABLE ATABLE BLevel 1Level 2Level 3Level 4Level 5TABLE DPERLAZ3,,,,,,0TABLE CTABLE ELevel 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5 ,  i)(3$ !   d  d)!dxdx( $ Figure  1  Level 1Level 2Level 3Level 4Level 5|^{x I&mage <=8C HKKKK1Large Dashed d !  _  h~4$ ` 2 `Eeuh  (# (#(#(# ZyXX STATEOFOREGON  JUDICIALDEPARTMENT  :  #XX Zy#AXXEMPLOYMENTAPPLICATION#XXAn# XX n AnEqualOpportunityEmployer#XX#    (#(# (# (#   XXThisapplicationformmustbeusedtoapplyforjobswiththeStateofOregonJudicial   Department.Keepacompletedcopyofyourapplicationforyourownrecord.Please    readthefollowinginstructions.Youwillnotbeconsideredforajobifyourapplication    isincomplete .#XX ~#   XX @$ INSTRUCTIONS      (Ax3 "3"  3#2A3  0    Readthejobannouncement.Ifyoubelievethatyouarequalified, filloutthe  applicationbytypingorprintinginink . 3#P݌ (#(# Ќ  "3"  3y2A3  0    Eachjobannouncementliststheclassificationtitleandlocationoftheposition.  Pleaseshowtheseontheapplicationinthespaceprovided.3y݌(#(# Ќ  "3"  32A3  0    Applicationsthatareincomplete, ornotsignedanddatedmayberejected.The  applicationmustbecompleteandsubmittedinitsentirety.  3݌(#(# Ќ  "3"  3A 2A3  0    Ifaclosingdateisonthejobannouncement,yourapplicationmustbereceivedby  thatdateunlessotherinstructionsappearontheannouncement.3A n ݌(#(# Ќ  "3"  3 2A3  0    Alljobannouncementsfornontemporarypositionsrequirethatyouprepareanswers  toquestionsappearingontheannouncementinadditiontofillingouttheapplication.  Theseanswersmustbeattachedwhenyousubmitit.3 ݌ (#(# Ќ  "3"  3Z 2A3  0    Donotattachorencloseresumes,lettersofreference,trainingrecords,academic " transcripts,orexamplesofworkwithyourapplicationunlessthejobannouncement #  directsyoutodoso.3Z ݌$! (#(# Ќ  "3"  3 2A3  0    Ifyourequireanalternateformatinordertocompletetheemploymentprocess,you &#" maycontactthecourtordivisionlocationforassistancebeforetheclosingdateonthe '$# announcement.Pleasebepreparedtodescribethealternateformatneeded.The (%$ phonenumberislistedontheannouncement. 3 !݌)&%(#(# Ќ  "3"  32A3  0    Ifyouareinvitedtointerviewand,duetodisability,needaccommodationto +(' participateintheinterview,contactthehiringauthoritylistedonthejob ,)(  announcementforassistance.3H݌-*)(#(# Ќ   # H#  STATEOFOREGON  JUDICIALDEPARTMENT & ApplicantsAuthorizationtoReleaseInformation   b   AsanapplicantforapositionwiththeOregonJudicialDepartment,Iamrequiredto 1  furnishinformationforuseindeterminingmyqualificationsandsuitabilitytofillthe C  position.Iunderstandthatanyorallinformationcontainedinmyapplicationfor U  employmentmaybesubjecttoverificationorinvestigationbytheJudicial g  Department.Ialsounderstandthatcriminalhistoryrecordswillbecheckedin y  accordancewithJudicialDepartmentPersonnelRule(_JDPR_)6.09.Ialsounderstand   thatdrivingrecordsmaybecheckedif,inthejudgmentoftheJudicialDepartment,  suchisrelevanttothepositionforwhichmyapplicationforemploymentismade.  Forthesepurposes,Iconsenttothereleaseofinformationconcerningmy < qualificationsandsuitabilitybyemployers,educationalinstitutions,lawenforcement N agencies,andotherrelevantindividualsandagenciestoanydulyauthorizedagentof ` theJudicialDepartment.  r Ifurtherconsenttoallowaphotocopyofthisreleaseform,whenpresentedbyaduly - authorizedagentoftheJudicialDepartment,toserveasavalidreleaseeventhough ? thephotocopydoesnotcontainanoriginalwritingofmysignature. Q Thisreleaseexpiresoneyearafterthedateitissigned. u  ApplicantsSignature:<">"A`)dEh#A"">0  0h(#(#"h(#h(# DateSigned:<$b $& A`)dEh%A$& $b 0 0 (# (#0h(#(#$& h(#h(# ApplicantsPrintedor &J"  TypedName:</(#'\#A`)dEh(A'\#/(#0 0 (# (#0h(#(#'\#!h(#h(# A`)dEh)A(2$)n$  (2$" XXH  .Hj~6&"`r0d( `Ej  XXX%X%  / %/ %XX XX/ %/ %  / %/ %XXJUDICIALDEPARTMENT   XX/ %/ %  / %/ %XX XX/ %/ %  / %/ %XX EMPLOYMENTAPPLICATION  6  XX/ %/ %  / %/ %XX XX/ %/ %  / %/ %XXAnEqualOpportunityEmployer \  XX/ %/ %  / %/ %XX   X%X%/ %/ %*` ddd Xdd Xdd XX%X%,wdd ,wdd ,wdd ,dd ,Kdd ,Xdd ,dd ,Ddd ,wdd ,edd ,vdd ,fdd ,wdd ,LL ,ydd , dd ,Vdd ,ydd +  +!2 2  +&7 % >`-$  > <`-  ` <JobAppliedFor @6$  ` @# %&7!#&7 %Name >`-$ P  ># %&7"# <`- P `  <eP (informationmaybefoundonjobannouncement)# eP## MC$ P ` @MLast @6$D 3@ @@ @6$D @ @@First @6$D 3@ @@MI E`6$D 3@ @E @6$D @` @@ KA/D @   K&7 %Address >`-$N  > <`-N `  <Title O`>5N ` O 7-N ` 7 >`-$  > .$ `  . 5`$V  5# %&7%# ?5 ` @? @6$J@ @@City @6$J@ @@State @6$J3@ @@Zip E`6$J3@ @E @6$J@` @@ F<*J @  F&7 %TelephoneNo(s). >`-$T! > 5`$T"` 5 1` T#` 1 9`*T$` 9Location >`-$T%` ># %&7)# ?5T&` @? @6$H'3@ @@Residence @6$H(3@ @@Business @6$H)3@ @@Message @6$H*3@ @@ @6$H+3@ @@ F<*H,3@  F&7 %FederalRegulations:AreyouauthorizedtoworkintheUnitedStates? 9````&$R-  9 0&R.```` 0Yes 6````#!R/ 6 0&R0```` 0No 9/!R1 9 9/!R2 9 =3!R3 =# %&7-#eP TheFederalImmigrationReformandControlActrequiresindividualstoprovide,toanemployer,documentedproofthattheyareauthorizedtoworkintheUnitedStates.  4 Theproofmustbeprovidedto,andverifiedby,hiringauthoritiesatthetimeofhireornolaterthanthreebusinessdaysafterthedateofhire. @6$\5 @# eP/#XXDoyouhaveahighschooldiplomaorGEDcertificate?#XX0# 9````&$6  9&7 % 0&7```` 0Yes 6````#!8 6 0&9```` 0No 9/!: 9 9/!; 9 D`3!< D# %&71#,, @6$\=` @#,,23#eP  Colleges,Nursing,Military,Trades,Business,orOtherSchoolsAttended G`6$f>  GNameofSchoolandLocation C``2$J?"`  CTotalNo.of J@ Hours D``3!6A"`` DTypeofTrainingorMajor G``6$JB"`` GCertificateorDegreeReceived G`6$JC"``  G# eP3# C``2$hD`  C D``3!hE`` D G``6$hF`` G G`6$hG``  G C``2$H`  C D``3!I`` D G``6$J`` G G`6$K``  G C``2$f L`  C D``3!f M`` D G``6$f N`` G @6$f O``  @ &7 %CertificationofClericalSkills# %&7S9# eP (completeonlyifyouareapplyingforaclericalposition)# eP9#  "ZP &7 % %&7Nettypingspeed__________ #l Q Netshorthand/briefhandspeed_________#&7 %j:# #0!R  %&7Checkifyouaretrainedand/orexperiencedin#&7 %;#: E`6$$!S   E Availability   "ZT  %&7Dateyoucouldreporttowork:#&7 %;# "2 U _________________________ B````/$$!W` B %&7 =3!&`#X```` =Dataentry B````/$&`#Y B =3!&`#Z3```` =  WordProcessing E`6$&`#[ E#&7 %<# %&7Positiontypeyouareinterestedin: B````/$&`#\` B =3!j'$]```` =Legalterminology B````/$j'$^ B =3!j'$_3```` =  Shorthand/briefhand E`6$j'$` E Zy,(checkasmanyasapply):# Zy?# G````4$j'$a ` G =3!(&b```` =10keyaddingmachine <2$(&c  < =3!(&d3  = B````/$(&e3 B >`/!(&f```` >eP Fulltime ?````,!(&g` ? >`/!(&h```` >Job  ԍShare O*0&m ̎  :0"(&i` : 9/!(&j 9 B8&(&k   B &7 % ePLanguageSkills #eP  %&7gC#(otherthanEnglish) eP B````/$*h'l  B#eP C# >`/!*h'm```` >Parttime ?````,!*h'n` ? >`/!*h'o```` >Any 9/!*h'p` 9 9/!*h'q 9 B8!*h'r  B&7 % eP Language: B````/$+(s  B >`/!+(t```` >#eP  %&7E#Temporary&7 % eP 9/!+(u` 9 9/!+(v 9 9/!+(w 9 9/!+(x 9 I`8&+(y   I#eP  %&7F# B````/$#-q*z` B 9/!#-q*{3```` 9  Speak ?````,!#-q*| ? 9/!#-q*}3```` 9  Read/Write 9/!#-q*~ 9 9/!#-q* 9 9/!#-q* 9 9/!#-q* 9 9/!#-q* 9 9/!#-q* 9&7 % eP D`3!#-q* D#eP  %&7J# B````/$.+` B 9/!.+3```` 9  Speak ?````,!.+ ? 9/!.+3```` 9  Read/Write 9/!.+ 9 9/!.+ 9 9/!.+ 9 9/!.+ 9 9/!.+ 9 9/!.+ 9&7 % eP1'%.+   1*`!ddwdd wwdd wwdd wdd Kdd KXdd Xdd Ddd Dwdd wedd evdd vfdd fwdd wLL ydd y dd Vdd Vydd y` X%X%,dd ,dd ,dd ,dd ,dd ,dd ,Add ,dd ,dd , dd ,,dd ,,dd ,dd ,,dd ,dd +  +! +Licenses/Certificates @6$5d @#eP  %&7~M#List_any_Ԁlicensesorcertificatesrequiredbythejobannouncement.&7 % eP @6$ @#eP  %&7)R#TitleofLicenseorCertificate 9/$" 9Number +!" +IssuingAgency .$" .DateIssued 1'" 1DateofExpiration&7 % eP =3$" =#eP  %&7S# -#!4 -  4    4   =3 4   0=&7 % eP KA84   0  K#eP  %&7T# 'q  '  q   q   q &7 % eP 5`$q 5#eP  %&7U# .` ` . /` ` / 2`! ` 2 5`$ ` 5&7 % eP >`- ` > @6$I x`  @WorkExperience @6$    @#eP  %&7W#Describeallworkexperience:a)thatmayberelatedtothepositionyouareapplyingforandb)tomeettherequirementsforthepositionasspecifiedintherecruiting ! P  announcement.Includerelatedunpaidandvolunteerwork.Ifyouneedtolistmorethanfiveemployers,attachadditionalsheets. E;$   I E ) ePPresentorlastemployer G`6$   G @6$ `  @Kindofbusiness G`6$ 3  G#eP  )Y# A7)  I `  A ) ePAddress D`3!:i  D @6$:i `  @Phone G`6$:i!3  G#eP  ),[# @6$:i"`  @ ) ePStartingdate(mo/yr) C`2$~#  C =3!~$`  =Leavingdate(mo/day/yr) C`2$~%3  C =3!~&`  =LastSalary#eP  )\# ) eP G`6$~'  G B````/$~(3` B#eP  )^# ) eP =3!~)````  =Volunteer#eP  )^# ) eP <2$~*   <Jobtitle D`3!+  D @6$,`  @Reasonforleaving G`6$-3   G @6$.`   @NameofSupervisor G`6$5/  G @6$50`  @  Supervisorsjobtitle @6$51  @ @6$52  @#eP  )S_# ePMaywe 53 contact? B````/$j43  B 9/!55````  9#eP 5b# ePY 56 E R7 S 8 #eP c# eP ?````,!9  ? 9/!5:````  9N 5; O 9/!j<   9#eP c# ) ePJobDuties D`3!=  D G`6$>` G G`6$&U?` G G`6$j@` G G`6$A` G G`6$!B` G G6$6eC` G @6$zD  @Nextpreviousemployer G`6$E  G @6$F`  @Kindofbusiness G`6$G3  G <2$H`  <Address D`3! 1I  D @6$ 1J`  @Phone G`6$ 1K3  G @6$ 1L`  @Startingdate(mo/yr) C`2$F!uM  C =3!F!uN`  =Leavingdate(mo/day/yr) C`2$F!uO3  C =3!F!uP`  =LastSalary G`6$F!uQ  G B````/$F!uR3` B =3!F!uS````  =Volunteer <2$F!uT   <Jobtitle D`3!" U  D @6$" V`  @Reasonforleaving G`6$" W3   G @6$" X`   @NameofSupervisor G`6$#!Y  G @6$#!Z`  @  Supervisorsjobtitle @6$#![  @ @6$#!\  @#eP  )d# ePMaywe #!] contact? B````/$2$a"^3  B 9/!#!_````  9#eP  n# ePY #!` E $I"a S f$"b #eP n# eP ?````,!$"c  ? 9/!#!d````  9N #!e O 9/!2$a"f   9#eP po# ) ePJobDuties D`3!%#g  D G`6$%#h` G G`6$&%i` G G`6$2(a&j` G G`6$v)'k` G G`6$*(l` G4*(+-*m  ` 4 .-p .H ., .  *o#`$d ddd dd dd dd dd dd Add Add dd  dd ,dd ,,dd ,dd ,dd ,dd `!X%X%o,dd ,dd ,dd ,dd ,dd ,Add ,dd ,dd ,Add ,Cdd ,dd ,dd , dd ,dd +  +!;;  +Nextpreviousemployer G`6$d  G @6$d`  @Kindofbusiness G`6$d3  G <2$d`  <Address D`3!  D @6$`  @Phone G`6$3  G @6$`  @Startingdate(mo/yr) C`2$'   C 9/!' `  9Leavingdate(mo/day/yr) @`/!' 3  @ =3!' `  =LastSalary G`6$'   G B````/$'3` B =3!'````  =Volunteer <2$'   <Jobtitle D`3!k0  D <2$k0`  <Reasonforleaving D`3!k03   D @6$k0`   @NameofSupervisor G`6$t  G @6$t`  @  Supervisorsjobtitle @6$t  @ @6$t  @#eP  )zp# ePMaywe t contact? B````/$3  B 9/!t````  9#eP |# ePY t E  S#eP }# eP ?````,!G   ? 9/!t````  9N t  O 9/!!   9#eP L~# ) ePJobDuties D`3!'"   D G`6$'#`  G G`6$k 0$` G G`6$ t %` G G6$ &` G4*(7 '  4*\'`(d ddd dd dd dd dd Add Add dd Add ACdd Cdd dd dd dd #`$X%X%\,dd ,dd ,dd ,dd ,dd ,Add ,dd ,dd ,Add ,Cdd ,dd ,dd , dd ,dd +  +! '   +Nextpreviousemployer G`6${@ (  G @6${@ )`  @Kindofbusiness G`6${@ *3  G <2${@ +`  <Address D`3!,  D @6$-`  @Phone G`6$.3  G @6$/`  @Startingdate(mo/yr) C`2$0  C 9/!1`  9Leavingdate(mo/day/yr) @`/!23  @ =3!3`  =LastSalary G`6$4  G B````/$53` B =3!6````  =Volunteer <2$7   <Jobtitle D`3!G 8  D <2$G 9`  <Reasonforleaving D`3!G :3   D @6$G ;`   @NameofSupervisor G`6$P<  G @6$P=`  @  Supervisorsjobtitle @6$P>  @ @6$P?  @#eP  )V# ePMaywe P@ contact? B````/$A3  B 9/!PB````  9#eP "# ePY PC E D S#eP # eP ?````,!#E  ? 9/!PF````  9N PG O 9/!H   9#eP q# ) ePJobDuties D`3!I   D G`6$J`  G G`6$G K` G G`6$PL` G G6$M` G4*(N  4*\)`*d ddd dd dd dd dd Add Add dd Add ACdd Cdd dd dd dd '`(X%X%\,dd ,dd ,dd ,dd ,dd ,Add ,dd ,dd ,Add ,Cdd ,dd ,dd , dd ,dd +  +!N  +Nextpreviousemployer G`6$WO  G @6$WP`  @Kindofbusiness G`6$WQ3  G <2$WR`  <Address D`3!`S  D @6$`T`  @Phone G`6$`U3  G @6$`V`  @Startingdate(mo/yr) C`2$W  C 9/!X`  9Leavingdate(mo/day/yr) @`/!Y3  @ =3!Z`  =LastSalary G`6$[  G B````/$\3` B =3!]````  =Volunteer <2$^   <Jobtitle D`3!#_  D <2$#``  <Reasonforleaving D`3!#a3   D @6$#b`   @NameofSupervisor G`6$g ,c  G @6$g ,d`  @  Supervisorsjobtitle @6$g ,e  @ @6$g ,f  @#eP  ){# ePMaywe g ,g contact? B````/$ h3  B 9/!g ,i````  9#eP G# ePY g ,j E  xk S#eP '# eP ?````,! l  ? 9/!g ,m````  9N g ,n O 9/! o   9#eP # ) ePJobDuties D`3!! p   D G`6$! q`  G G`6$##!r` G G`6$g$,#s` G Gb6$%p$t` G4*(&%u b 4#eP  )#IcertifyandaffirmthatIhavereadthenoticebelow,personallycompletedthisapplicationorrequesteditscompletion,andthatallstatementscontainedhereinaretrue m(2'v andcomplete.IfurtherunderstandthatanyofferofsalaryismadeinaccordancewithJudicialDepartmentPersonnelRule(_JDPR_)4.03.  )'w  NOTICE: Anyoralorwrittenstatementthatisfalse,fraudulentormisleadingcontainedinthisapplicationormadeinthecourseofanyrelatedemploymentprocesswhether G* )y madebymeorbyothersatmyrequestwillresultinrejectionofmyapplication,denialofemployment,dismissalfromstateserviceifdiscoveredafteremploymentand *)z inmanycircumstancesprosecutionforacrime.Criminalconvictionrecordswillbecheckedinaccordancewith_JDPR_Ԁ6.09,andmaybegroundsforrejectionor +J*{ terminationofemployment.Drivingrecordsmaybecheckedif,inthejudgmentoftheJudicialDepartment,sucharerelevanttothepositionforwhichthisapplication #,*| ismade,andmaybegroundsforrejectionoftheapplicationorterminationofemployment. ,+} Signature__________________________________________________________________________0  0 %%0x % %Date_______________________-,x%x% OJDApplication0  0` %%0 ` %` %0 % %0h%%0h%h%0%%0p%%0p%p%0 %%0x % %0 x%x%_January_Ԁ2008