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City of Jennings General Application Form
By submitting this application, I certify that all statements made by me in the application are true. I also authorize the City of Jennings to check my references by contacting any person whom they deem to be an appropriate reference, to ask questions about my personal or educational background, work experience, or character. Former employers or references are authorized to furnish any such information concerning me and are released from any and all liabilities or damages of any nature because of furnishing such information; they may rely on a copy of this release. In cases where it is job related, I also consent to a background investigation, which may include a check of my driving record or a police record check to disclose any disqualifying criminal history.
Personal Information
First Name
*
Middle Initial
Last Name
*
Application Date
*
-
Month
-
Day
Year
Date
Contact Details
Present Address - Street
*
Present Address - City
*
Present Address - State
*
Present Address - ZIP Code
*
Permanent Address - Street
Permanent Address - City
Permanent Address - State
Permanent Address - ZIP Code
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Position Applied For
Position Applied For
*
Position Desired
Date You Can Start
*
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Month
-
Day
Year
Date
Salary Desired
How did you learn of this job opening?
*
City Hall Information Board
City Website
Employee Referral
Other
Are you employed now?
*
Yes
No
May we inquire of your present employer?
*
Yes
No
Are you legally authorized to work in the U.S.?
*
Yes
No
Education
High School - Name & Location
High School - Years Attended
High School - Did You Graduate?
Yes
No
High School - Subjects Studied
College - Name & Location
College - Years Attended
College - Did You Graduate?
Yes
No
College - Subjects Studied
Trade/Business/Correspondence School - Name & Location
Trade/Business/Correspondence School - Years Attended
Trade/Business/Correspondence School - Did You Graduate?
Yes
No
Trade/Business/Correspondence School - Subjects Studied
Special Study/Research Work
Special Training, Certifications, Licenses
Special Skills, Foreign Languages, etc.
References
References (3 required)
*
Resume Upload (PDF, DOC, or DOCX format)
*
Upload a File
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Choose a file
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Authorization
Applicant Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Submit
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