5th page
5th page
Attachment to CS Form
Instructions: No. 212 only the work experiences relevant to the position being applied to.
1. Include
2. The duration should include start and finish dates, if known, month in abbreviated form,
if known, and year in full. For the current position, use the word Present, e.g., 1998-
Present. Work experience should be listed from most recent first.
Date: ______________
GENE VIEVE C. JULIAN
(Signature over Printed Name
of Employee/Applicant)
Date: ______________