Stokes Deyana
Stokes Deyana
Stokes Deyana
C ounty E nterprises
EMPLOYMENT APPLICATION
Provide all information requested by printing in ink or keying. Use the tab key to move through the document.
GENERAL INFORMATION
Name (Last) (First) (Middle Home Telephone
Stokes Deyana Initial) (478) 258 - 1696
Address (Mailing Address) (City) (Stat (Zip)
M Cell Phone
1315 Forsyth Landing Drive Forsyth e) 31029 (478) 318 - 3460
E-mail Address GA
[email protected]
POSITION
Position or Type of Employment Desired Will Accept:
Medical Scientist Part-Time Full-Time
Have you ever been employed at the Monroe County Enterprises before?
Yes No
Date Available: 01/27/2026
Are you able to perform the essential functions of the job you are applying
for, with or without reasonable accommodation? Yes No
Salary Desired
$ 5,302.95 / monthly
REFERENCES
List below names and addresses of persons who are qualified to answer questions concerning your fitness for the
position(s) you seek other than those listed in your credential file. (3 classmates from THIS class. Get a sheet of
paper and Go to the L Drive folder REFERENCES jot down the information and come back to this
document and type it in.)
Charlotte Wilcox Music Director 107 Oglethorpe Street, Forsyth, GA 31029 478.832.7783
WORK EXPERIENCEMost recent first, include voluntary work and military experience
Employer Webster Development Inc. Telephone Number (478 994 - 6186 From (Month/Year)
Address P.O. Box 55621 October/2022
Job Title Medical Assistant Number Employees Supervised 2 To (Month/Year)
Specific Duties (Maximum 350 characters) March/2024
lifting heavy objects assembling products operating heavy machinery X Hours Per Week
budget reports 15-20
taking pictures X filing X data entry X faxing counseling Last Salary
washing/cleaning vehicles $10/hourly
I certify the information contained in this application is true, correct, and complete. I understand that, if
employed, false statements reported on this application may be considered sufficient cause for dismissal.
You will enter an electronic signature. Click in the gray box beside Signature of Applicant select any
script or cursive style font type your first and last name (capitalize the first letter of each).