City of Perry Job Application
What job are you applying for?
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When could you start?
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Month
-
Day
Year
Date
Are you legally authorized to work in the U.S.?
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Yes
No
Don't Know
Name
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First Name
Last Name
Email
example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Do you have a valid drivers license?
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Yes
No
Not Applicable to Job
Have you ever been convicted of a felony?
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Yes
No
Please input three professional references
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Please select your highest level of education completed
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Still completing high school
High School Diploma
Associates Degree
Bachelors Degree
Masters Degree
Doctorate Degree
Other
List your education
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Input any past work history including number of years spent in each position beginning with the latest job
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Can we contact previous employers?
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Yes
No
Not yet
Please upload your resume if applicable
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Signature - I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation, falsification, or omission of information may result in disqualification from employment or dismissal if hired. I authorize the City of Perry to verify my statements and conduct necessary background checks. I understand that employment with the City is at-will and may be terminated at any time, with or without cause, unless otherwise specified by law or written agreement.
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Disclaimer
The City of Perry is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected characteristic under federal, state, or local law.
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