Application for Employment - Iowa

CFN 552
-
0072 R 1/07
4
Section 4 Availability
Check All Boxes That Apply
Your availability choices are used to refer your name to state departments for employment consideration for job classes open to
continuous application and internship only.
¨ Full-Time 40 hours per week
¨ Part-Time less than 40 hours per week
¨ Travel varies with each job
¨ Day Shift varies, usually 8 a.m. to 4:30 p.m.
¨ Eve Shift varies, usually 4 p.m. to 12 midnight
¨ Night Shift varies, usually 12 midnight to 8 a.m.
¨ Any Shift will work anytime
¨ Weekends will work Saturdays and/or Sundays
County 29 (Des Moines County) Does Not Include the City of Des Moines. County 77 (Polk County) Includes All of Polk County.
Polk (Capitol Complex) is Limited Only to the Capitol Complex Area.
Mark Only Counties In Which You Will Work (See Map): ¨ Mark Here for All Counties
¨ 1 Adair
¨ 2 Adams
¨ 3 Allamakee
¨ 4 Appanoose
¨ 5 Audubon
¨ 6 Benton
¨ 7 Black Hawk
¨ 8 Boone
¨ 9 Bremer
¨ 10 Buchanan
¨ 11 Buena Vista
¨ 12 Butler
¨ 13 Calhoun
¨ 14 Carroll
¨ 15 Cass
¨ 16 Cedar
¨ 17 Cerro Gordo
¨ 18 Cherokee
¨ 19 Chickasaw
¨ 20 Clarke
¨ 21 Clay
¨ 22 Clayton
¨ 23 Clinton
¨ 24 Crawford
¨ 25 Dallas
¨ 26 Davis
¨ 27 Decatur
¨ 28 Delaware
¨ 29 Des Moines County
¨ 30 Dickinson
¨ 31 Dubuque
¨ 32 Emmet
¨ 33 Fayette
¨ 34 Floyd
¨ 35 Franklin
¨ 36 Fremont
¨ 37 Greene
¨ 38 Grundy
¨ 39 Guthrie
¨ 40 Hamilton
¨ 41 Hancock
¨ 42 Hardin
¨ 43 Harrison
¨ 44 Henry
¨ 45 Howard
¨ 46 Humboldt
¨ 47 Ida
¨ 48 Iowa
¨ 49 Jackson
¨ 50 Jasper
¨ 51 Jefferson
¨ 52 Johnson
¨ 53 Jones
¨ 54 Keokuk
¨ 55 Kossuth
¨ 56 Lee
¨ 57 Linn
¨ 58 Louisa
¨ 59 Lucas
¨ 60 Lyon
¨ 61 Madison
¨ 62 Mahaska
¨ 63 Marion
¨ 64 Marshall
¨ 65 Mills
¨ 66 Mitchell
¨ 67 Monona
¨ 68 Monroe
¨ 69 Montgomery
¨ 70 Muscatine
¨ 71 O’Brien
¨ 72 Osceola
¨ 73 Page
¨ 74 Palo Alto
¨ 75 Plymouth
¨ 76 Pocahontas
¨ 77 Polk
¨ 77 Polk (Capitol Complex Only)
¨ 78 Pottawattamie
¨ 79 Poweshiek
¨ 80 Ringgold
¨ 81 Sac
¨ 82 Scott
¨ 83 Shelby
¨ 84 Sioux
¨ 85 Story
¨ 86 Tama
¨ 87 Taylor
¨ 88 Union
¨ 89 Van Buren
¨ 90 Wapello
¨ 91 Warren
¨ 92 Washington
¨ 93 Wayne
¨ 94 Webster
¨ 95 Winnebago
¨ 96 Winneshiek
¨ 97 Woodbury
¨ 98 Worth
¨ 99 Wright
Lyon
60
Sioux
84
Scott
O’Brien
71
Clay
21
Buena Vista
11
Plymouth
75
Cherokee
18
Muscatine
70
Ida
47
Woodbury
97
Crawford
24
Carroll
14
Monona
67
Fremont
36
Pottawattamie
78
Shelby
83
Harrison
43
Mills
Page
73
Taylor
87
Montgomery
69
Polk
77
Adams
2
Decatur
27
Union
88
Ringgold
80
Dallas
25
Guthrie
39
Audubon
5
Madison
61
Adair
1
Warren
91
Cass
15
Clarke
20
Lucas
59
Wayne
93
Jasper
50
Marion
63
Louisa
58
Des Moines
Davis
26
Van Buren
89
Jefferson
51
Appanoose
4
Lee
56
Wapello
Henry
44
Monroe
68
Washington
92
Poweshiek
79
Mahaska
62
Iowa
48
Johnson
52
Keokuk
54
Osceola
72
Dickinson
30
Emmet
32
Kossuth
55
Palo Alto
74
Pocahontas
76
Calhoun
13
Sac
81
Winnebago
95
Webster
94
Humboldt
46
Greene
37
Boone
8
Hancock
41
Wright
99
Hamilton
40
Story
85
Worth
98
Cerro Gordo
17
Franklin
35
Hardin
42
Marshall
64
Tama
86
Benton
6
Linn
57
Jones
53
Cedar
16
Jackson
49
Clinton
23
Dubuque
31
Delaware
28
Buchanan
10
Black Hawk
7
Grundy
38
Butler
12
Floyd
34
Mitchell
66
Howard
45
Chickasaw
19
Bremer
9
Winneshiek
96
Fayette
33
Allamakee
3
Clayton
22
Ames
Council
Bluffs
Waterloo
Cedar
Rapids
Iowa City
Davenport
Burlington
Ottumwa
Marshalltown
Glenwood
Clarinda
Creston
Mt. Pleasant
Ft. Madison
Oakdale
Anamosa
Independence
Toledo
Eldora
Woodward
Rockwell
City
Cherokee
Newton
Mitchellville
29
82
65
90
Sioux
City
Fort
Dodge
Mason
City
Des
Moines
n Your name will be referred for vacancies only in the counties you have selected.
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