Lewis, Longman & Walker, P.A.

events board certified attorneys practice areas

	Special Assets Assessment Services
	Sustainability
	Natural Resources
	Environmental
	Water Resources
	Land Use
	Public Pension, Labor and Employment
	Local Government and Special Districts
	Legislative and Governmental Affairs
	Civil Litigation & Appeals
	Real Estate
	Professional Licensure
	Public Finance
	Marine and Coastal Construction
	Intellectual Property/Patent

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EMPLOYMENT APPLICATION

Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.

Personal Information

*Date Available:

*: Full TimePart TimeTemporary/Seasonal

*Referral Source:

*First Name:

*Middle Name:

*Last Name:

*Current Address:

*Home Phone:

*City:

*St:

*Zip:

*Work Phone:

*Email:

*Cell Phone:

Education

*School/College:

*# Years:

*Year Grad:

*Degree:

*School/College:

*# Years:

*Year Grad:

*Degree:

*School/College:

*# Years:

*Year Grad:

*Degree:

*School/College:

*# Years:

*Year Grad:

*Degree:

*School/College:

*# Years:

*Year Grad:

*Degree:

*: I will upload my resume.I will list my work experience using the online form.

Resume

*Attach Resume: Accepted File Types: doc,pdf

Employment/Work Experience

Start with your present or most recent position. Include miliary service assignments and volunteer activities. Exclude organization names that indicate race, color, religion, sex, or national origin.

*Name of present or last employer:

*From: /

*To: /

*Title of present or last position:

*Supervisor:

*Address:

*Phone:

*City:

*St:

*Zip:

*Duties/Responsibilities/Accomplishments:

*Reason for Leaving:

*Name of previous employer:

*From: /

*To: /

*Title of last position:

*Supervisor:

*Address:

*Phone:

*City:

*St:

*Zip:

*Duties/Responsibilities/Accomplishments:

*Reason for Leaving:

*Name of previous employer:

*From: /

*To: /

*Title of last position:

*Supervisor:

*Address:

*Phone:

*City:

*St:

*Zip:

*Duties/Responsibilities/Accomplishments:

*Reason for Leaving:

Special Skills

*Describe any special skills or qualifications for this work: Available characters remaining:

Signature

I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Lewis, Longman & Walker, P.A. to investigate any statement contained in this application, and to obtain a credit report on me (and my company if this application is for reselling by a company) as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand also, that I am required to abide by all rules, regulations and policies of Lewis, Longman & Walker, P.A..

*Initials:

*Date:

Bradenton Phone: (941) 708-4040 Fax: (941) 708-4024 Email: Linda Clark	Jacksonville Phone: (904) 353-6410 Fax: (904) 353-7619 Email: Michelle O'Rourke
Tallahassee Phone: (850) 222-5702 Fax: (850) 224-9242 Email: Elizabeth Sirman	West Palm Beach Phone: (561) 640-0820 Fax: (561) 640-8202 Email: Kim O'Keefe

The hiring of a lawyer is an important decision that should not be based solely on advertisement. Before you decide, ask Lewis, Longman & Walker, P.A. to send you free written information about their qualifications and experience.