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2. By filling out this form, you are confirming that a current City employee referred you for a position with the City of Fort Walton Beach, and you may be eligible for a one-time $500 bonus. Eligibility is based on the completion of all pre-employment requirements, selection, and completion of the provisional period.

4. First and Last Name*
5. Position for which you are applying*
7. Referred by (City employee)*
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9. 1. Receive an email copy of this form.
10. Email address

    This field is not part of the form submission.

11. Submit Submit and Print

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