Process Order

Applicant Hired? Yes  ____________ No  ____________ DOB  ____________
Date Employed ____________ Point Employed ____________
Department ____________ Classification ____________
In Case of Emergency Notify ____________ Phone ____________ Address ____________

This Section to be filled in by responsible officer or company representative

Area Superior Good Fair Below Average Poor Written Record on File
Application
Interview
Physical Exam
Past Employment
Written Exam
Road Test
Policy and Traffic Record