Answer every question clearly and completely. Where a question does not apply, answer N/A. Th Department of Human Resources must recieve applications for positions with closing dates by 5:00pm on the closing date.
Job Applied for: blanks*
If yes, State: blanks Number: blank.
Driving records must be provided prior to hire for those positions that require driving a city vehicle and are therefore included on the city's insurance policy. Acceptable records must be within the standards set by the insurance company and the City.
Present Employer: blanks From: Date to Date Address: Street Address City State Phone Number: Area Code Phone Number Average Hours/Week: Job Title: Starting Salary: Ending Salary: Supervisors Name: May we contact? Yes No Reason for Leaving? Describe your work?
Previous Employer: blanks From: Date to Date Address: Street Address City State Phone Number: Area Code Phone Number Average Hours/Week: Job Title: Starting Salary: Ending Salary: Supervisors Name: May we contact? Yes No Reason for Leaving? Describe your work?
High School: blanks City and State: blank Degree: Major Area of Study:
College or University: blanks City and State: blank Degree: Major Area of Study:
Other Education: blanks City and State: blank Degree: Major Area of Study:
References may be furnished in the space provided below, if desired by the applicant.Reference #1:Name: blanks Email: Email Phone: Area Code Phone Number Relationship:
Reference #2:Name: blanks Email: Email Phone: Area Code Phone Number Relationship:
Reference #3:Name: blanks Email: Email Phone: Area Code Phone Number Relationship:
Position applied for: blanks
Date of Birth: blanks
If yes, dates of active duty: From: blanks To:blank Type of discharge or release: