Clone of City of Greenbrier -Job Application

City of Greenbrier - Job Application

City Of Greenbrier, AR is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.
Applicant Full Name

First NameMiddle NameLast Name
Current Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Position Applied
How did you hear about us
If hired, are you available to work overtime?
Do you have reliable transportation to and from work?
Salary desired:
Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
If you have a cover letter and a resume, we'd love to see it. Upload that here.

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Do you have any friends, relatives, or acquaintances working for City of Greenbrier, AR?
Yes or No? If yes, state and name the relationship.
Are you 18 years of age or older?
Will you consent to a mandatory controlled substance test?
Are you a U.S. citizen or approved to work in the United States?
What document can you provide as proof of citizenship or legal status?
Are you a member of the US Armed Services?
What branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?
Do you have any condition which would require job accommodations?
Yes or No? If yes, please describe accommodations required.
Have you ever been convicted of a criminal offense (felony or misdemeanor)? Yes or No? If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Please list the skills and qualifications you possess for the position for which you are applying:
(Note: City of Greenbrier, AR complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)
High School & Year Graduated:
Example: Greenbrier High School - 1988
Degree Earned:
Example: High School Diploma
College & Year Graduated:
Example: University of Arkansas - 2002
Degree Earned:
Example: Bachelors of Science in Radio Television
Vocational School/Specialized Training:
Example: Elite Welding Academy 2006-2009
Certification Earned:
Previous Employment:
(Your last employer name and job title)
Employer Address:
Supervisor Name:
Supervisor Contact Info:
Phone Number
Dates You Were Employed:
Reason for Leaving:
May we contact your previous employer?
Previous Employment:
(Your last employer name and job title)
Employer Address:
Supervisor Name:
Supervisor Contact Info:
Phone Number
Dates You Were Employed:
Reason for Leaving:
May we contact your previous employer?
References:
(Name, Relationship, Phone number)
References:
(Name, Relationship, Phone number)
References:
(Name, Relationship, Phone number)
AT-WILL EMPLOYMENT

The relationship between you and the City of Greenbrier, AR is referred to as "employment at will." This means that your employment can be terminated at any time, for any reason, with or without cause, with or without notice, by you or the City of Greenbrier, AR. No representative of City of Greenbrier, AR has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and the Mayor.
Signature
Should be Empty:

City of Greenbrier - Job Application