Information

Full Name: Fanning Tyler K Date: 10/10/17

Last First M.I.
Address: 3420 CedarMeade Dr.
Street Address Apartment/Unit #
Roanoke VA 24014
City State ZIP Code
Phone: 5403391067 E-mail Address: tylervtfan@hotmail.com

Date Available: Social Security No.: 123-45-6789 Desired Salary: $

Position Applied for: Police

YES NO YES NO
Are you a citizen of the United States? X If no, are you authorized to work in the U.S.?
YES NO
Have you ever worked for this company? X If yes, when?
YES NO
Have you ever been convicted of a felony? X

If yes, explain:

Education
High School: Cave Spring High School Address:
YES NO
From: 2015 To: 2018 Did you graduate? X Degree: Advanced Studies

College: Virginia Tech Address:

YES NO
From: 2018 To: 2021 Did you graduate? X Degree:

Other: Address:
YES NO
From: To: Did you graduate? Degree:

References
Please list three professional references.

Full Name: Matt Relationship:

Company: Phone: ()

Address:

Full Name: Relationship:

Company: Phone: ()

Address:

Full Name: Relationship:

Company: Phone: ()

Address:
Previous Employment
Company: Phone: ()

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Company: Phone: ()

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Company: Phone: ()

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Military Service
Branch: From: To:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Tyler Fanning