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  • City of Manassas Park: Employment Application

    Department of Human Resources: 1 Park Center Ct, Manassas Park, VA 20111

  • 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: *

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you legally eligible to work in the U. S.*
  • The City of Manassas Park supports the Americans with Disabilities Act. Will you require any reasonable accommodation in order to complete the interview process?*
  • Have you ever worked for The City of Manassas Park?*
  • Do you have a valid driver's license?*

  • If yes, State: Number: .

  • Valid Commercial driver's license?

  • If yes, State: Number: .

  • 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.

  • Background checks are routinely performed prior to hire on all employees. Have you ever been convicted of any offense against the law? Omit juvenile offenses and minor traffic violations. Include convictions by general court martial while in the military services.*

  • Present Employer:
    From:   Pick a Date to   Pick a Date     
    Address:               
    Phone Number:            
    Average Hours/Week:      
    Job Title:      
    Starting Salary:      Ending Salary:      
    Supervisors Name:      
    May we contact?         
    Reason for Leaving?      
    Describe your work?      

  • Experience History

    Start with your present job and work back. Include military service and volunteer experience. Additional experience should be listed on separate sheets of paper or a personal resume. Be sure to include all requested information, especially as it relates to the job for which you are applying.

  • Previous Employer:
    From:   Pick a Date to   Pick a Date     
    Address:               
    Phone Number:            
    Average Hours/Week:      
    Job Title:      
    Starting Salary:      Ending Salary:      
    Supervisors Name:      
    May we contact?         
    Reason for Leaving?      
    Describe your work?      

  • Previous Employer:
    From:   Pick a Date to   Pick a Date     
    Address:               
    Phone Number:            
    Average Hours/Week:      
    Job Title:      
    Starting Salary:      Ending Salary:      
    Supervisors Name:      
    May we contact?         
    Reason for Leaving?      
    Describe your work?      

  • Previous Employer:
    From:   Pick a Date to   Pick a Date     
    Address:               
    Phone Number:            
    Average Hours/Week:      
    Job Title:      
    Starting Salary:      Ending Salary:      
    Supervisors Name:      
    May we contact?         
    Reason for Leaving?      
    Describe your work?      

  • Education and Training

  • Indicate the HIGHEST educational level completed:*

  • High School: City and State: Degree:      Major Area of Study:      

  • College or University: City and State: Degree:      Major Area of Study:      

  • Other Education: City and State: Degree:      Major Area of Study:      

  • Other Education: City and State: Degree:      Major Area of Study:      

  • References may be furnished in the space provided below, if desired by the applicant.

    Reference #1:
    Name:
    Email:    
    Phone:         
    Relationship:      


  • Reference #2:
    Name:
    Email:    
    Phone:         
    Relationship:      


  • Reference #3:
    Name:
    Email:    
    Phone:         
    Relationship:      

  • Date*
     - -

  • Voluntary Data Record

    To enable The City of Manassas Park to meet statistical reporting regulations, applicants are requested (but not required) to complete this Voluntary Data Record. Information will be used solely for reporting purposes. This portion of your application will be detached and, if hired, will not become part of your employee record. It will not be used as selection criteria and will be treated as personal and confidential.
  • Date
     - -

  • Position applied for:

  • Date of Birth:

  • Check one:
  • Check one of the following:
  • Are you a Veteran?
  • Vietnam Veteran?

  • If yes, dates of active duty: From: To:
    Type of discharge or release:      

  • TO ALL APPLICANTS

    Section 503 of the Rehabilitation Act of 1973, the Americans with Disabilities Act and Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended, provide for employers to take affirmative action to employ and advance qualified disabled individuals, qualified disabled veterans, and veterans of the Vietnam Era respectively. If you would like to be considered under any of these Affirmative Action programs, please complete the information below.
  • Submission of this information is voluntary and refusal to provide will not prevent consideration of employment. Your information will be kept confidential and used only for the purpose of the Acts and the regulations issued under them, except (a) Supervisors and managers may be informed regarding restrictions on your work duties and necessary accommodations; (b) safety personnel may be informed, as appropriate, if the condition might require emergency treatment; and (c) government officials investigating compliance with the Acts shall be informed. If you are disable and/or a veteran of the Vietnam Era, we would like to assist you in making appropriate career decisions. It would be helpful if you would complete the information below.
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