Employment Application
The City of Fruita is an equal opportunity employer. We do not discriminate based on race, color, religion, national origin, sex, age, sexual preference, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given an equal opportunity and that selection decisions be based on job-related factors.
Personal Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Are you 18 years of age or older? (If hired, you may be required to submit proof or age.)
*
Yes
No
If hired, can you furnish proof that you are eligible to work in the U.S.?
*
Yes
No
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Employment Desired
Today's Date
*
/
Month
/
Day
Year
Position Applied For:
*
Please Select
Adult Basketball Official
Construction Inspector
Wastewater Operator
Building Inspector I/II
Water Safety Instructor
Intern – Part-Time
Other
Please choose the position you are applying for.
If you chose other, what position are you interested in?
Are you seeking:
*
Full-Time Work
Part-Time Work
Temporary Work
When are you available to start work?
*
How did you hear about this job opening?
*
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General Information
Have you ever been employed by the City of Fruita?
*
Yes
No
If yes, state the position, employment dates, and supervisor.
Are any of your relatives employed by the City of Fruita?
*
Yes
No
If yes, state names and relationships.
Have you ever been discharged or forced to resign from any position?
*
Yes
No
If yes, give a detailed explanation.
Have you worked or attended schools under any other name?
*
Yes
No
If yes, list the names below.
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Driver Information:
Please only fill if applying for a job that includes driving.
Are you applying for a job that requires a valid Driver's License?
*
Yes
No
Do you have a valid Driver's license?
Yes
No
Driver's License Number:
Class of License:
Have you had your driver's license suspended or revoked in the last 3 years?
Yes
No
If yes, give a detailed explanation below.
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Information for Police Officers
Are you applying for a Police Officer position?
*
Yes
No
Are you 21 years of ager or older?
Yes
No
Are you POST certified?
Yes
No
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Education
Please select the highest grade completed.
7
8
9
10
11
12
13
14
15
16
16+
High School
College
Vocational/Technical
Other Job Related Training
Please list your skills and qualifications.
What machines or equipment can you operate that are related to the position you are applying for?
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Employment
Start with your present or last job. Account for all periods of time, including military service and any periods of unemployment/ If self-employed, give firm name and supply business references. Provide month and year for employment.
References
List three (3) references (do not use relatives)
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Attachments
Please upload your resume, cover sheet, and other applicable documents.
File Upload
Browse Files
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Choose a file
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Agreement & Signature
I hereby apply for employment with the City of Fruita and certify that: The information contained in this application and supporting employment documents is true and complete. I understand and agree that, if the opinion of the City of Fruita, I have made any misrepresentations or false statements in connection with the application and supporting employment documents, the City of Fruita may reject my application or, if employed, may terminate my employment.I understand that all information furnished in this application and supporting employment documents may be verified. I hereby authorize all individuals and organizations named and referred to in this application and supporting employment documents and any law enforcement organization to release any and all information relative to such verification and hereby release such individuals, organizations, and the City of Fruita from any and all liability for any claim or damage resulting therefrom. I understand that, following an offer of employment, employment may be contingent upon successfully completing a physical examination, drug screening, and other screening evaluations. I consent to the release of any or all personal and/or professional and/or medical information as may be deemed necessary to judge my capability to do the work for which I am applying. In accordance with the Immigration Reform and Control Act of 1986, I understand that I will be required to provide documentation as to my identity and authorization to work in the U.S. should employment be offered to me. I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at any time, with or without cause and with or without notice. I have read, understand and by my signature consent to these statements.
Signature
To sign, please draw your signature.
Today's Date
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Month
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Day
Year
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