S P D - Alabama

ReEmployment/Rehire Form

You can only be added to a reemployment register for a job class in which you had permanent status and were recommended for reemployment. You must have been gone from the class less than four years. If it has been over 2 years and you are asking for an extension, please furnish us with all related experience or courses taken that have maintained your skills for employment in this job class.

Name:*
Email:*
SSN (without dashes):*
Address 1:*
Address 2:
City, State, Zip:  *
Home Phone:*
Job Title:
Last Employment Date:*   Here is an image of a small calendar
***If you are requesting an extension on the reemployment/rehire list then we MUST have a written explanation below of related work experience or courses taken which have maintained your skills for employment.***
        * required fields