Application For Employment
City of Josephine
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.
Email
*
example@example.com
Are you legally eligible to work in the US?
*
Yes
No
Are you a veteran?
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain:
Position
Position you are applying for:
*
Please Select
Wastewater Operator
Volunteer Firefighter
Police Officer
Available start date:
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-
Month
-
Day
Year
Date
Desired pay:
*
Employment desired
*
Full Time
Part Time
Either
How did you learn about this job opportunity?
*
Please Select
Employee Referral
City Website
Recruitment Agency
Career Fair
Facebook
Instagram
LinkedIn
Job Board
Other
Please provide the name of the employee who referred you:
Please specify how you heard about this job:
Education
*
Special Skills and Relevant Experience - Please list any special skills, certifications, or experiences that you believe would support your success in the position for which you are applying.
Computer Skills and Software Proficiency - List any computer programs you are proficient in, as well as any relevant technical or digital skills
Employment History
*
Upload Cover Letter and Resume
Browse Files
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Choose a file
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Consent to Background check
*
Yes
No
Consent for Drug Testing:
*
Yes
No
Signature Disclaimer:I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that any false or misleading information provided in my application or interview may result in the termination of my employment. I understand that the City of Josephine is an at-will employer, and that neither this application nor any city policy grants any employee a property interest in employment. I further understand that no employee or official of the City is authorized to modify this policy or to offer permanent employment. If I am hired, I understand that it will be my responsibility to read and understand the City’s Personnel Policy Manual, including any approved updates or changes.
*
By signing this I agree with the above statement
Today's date
*
-
Month
-
Day
Year
Date
Submit
Submit
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