AST INVOLVEMENT:

 

Number of years in AST: _____

 

PAST POSITIONS HELD WITHIN AST OR OHIO STATE ASSEMBLY:

 

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Please attach a current resume, copies of diplomas, certificates, outstanding achievements, etc.

 

EMPLOYER:

I VERIFY THAT THE APPLICANT IS CURRENTLY EMPLOYED AT THE LOCATION LISTED ABOVE. IF THIS EMPLOYEE IS ELECTED TO OFFICE IN AST, I WILL MAKE REASONABLE EFFORTS TO GRANT LEAVE TIME TO ALLOW HIM/HER TO FULFILL THE OBLIGATIONS OF THE POSITION.

 

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Employer signature and title                                                       Date