Education

Health Department

Cherokee County, Texas

593 North Main Street

Rusk, Texas 75785

Telephone: (903)683-4688

FAX:  (903)683-4899

  
 
 

Name and Address

of School

 

Course of Study

Years

Completed

Diploma

Degree

Elementary

School

       

High School

       

Undergraduate

College

       

Graduate

Professional

       

Other

(Specify)

       
 

Indicate any foreign languages you can speak, read and /or write

 

FLUENT

GOOD

FAIR

SPEAK

     

READ

     

WRITE

     
 

  Describe any specialized training, apprenticeship, skills and

  extra-curricular activities.

 
 
 
 
 
 

  Describe any job-related training received in the United

  States military.

 
 
 
 
 
 
Application for Employment       Page 2 of  5 Pages