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    • MILITARY SERVICE  
    • Military Service

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    • REASONABLE ACCOMMODATION  
    • The City is concerned with your ability to perform the job and will not at this time consider your need for reasonable accommodation. If after reviewing your application form, verifying your responses, and conducting necessary interviews or tests, you are considered for the job and would need reasonable accomdation to perform the essential job functions, the parties will explore these alternatives.

      REMEMBER: The City conducts a pre-employment exam which will determine whether you can do the essential functions of the Job without substantial risk to yourself and the public.

      In addition, review the minimum qualifications and provide us with prior education, work experience, and any relevant training or certificates and licenses that would indicate your knowledge, skills, and abilities to perform the job. Be as specific as possible since you will be screened on what you include regardless of what you might otherwise be able to perform.

    • EDUCATIONAL RECORD  
    • Educational Record

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    • EMPLOYMENT EXPERIENCE  
    • Employment Experience

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    • ADDITIONAL INFORMATION  
    • ADDITIONAL INFORMATION

    • If you have any additional information or comments concerning any voluntary experience, and special licenses or training which would help us determine your suitability for this position, please use the space provided below or an extra sheet of paper if necessary. All attachments must be signed.

      Read Carefully Before Signing I certify that facts given in this application are true and complete to the best of my knowledge. I hereby grant permission to the City of Blackwell to investigate any information included in the application and I agree to submit to medical examination if required. I understand that this application is not a contract of employment. I hereby release the City and its agents from all liability in making any investigation and inquiry relative to information contained in the application form. I understand, that if employed, false or misleading statements given in this application or interview(s) may result in discharge. I understand that I am required to abide by all rules and regulations of the City of Blackwell.

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    • For Office Use Only: This section to be completed by interviewer before application is returned to Personnel/City Manager.

    • Should be Empty: