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Application for Employment
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Steps
1.
Personal Information
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This section is incomplete
2.
Position Information
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This section is incomplete
3.
Military
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4.
Employment
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5.
Employment Experience
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6.
Education
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This section is incomplete
7.
Business References (Supervisors and Co-Workers)
This section is complete
This section is incomplete
8.
Other Qualifications
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This section is incomplete
9.
Prior Residence Information (Past 7 Years)
This section is complete
This section is incomplete
10.
Resume
This section is complete
This section is incomplete
11.
Applicant's Statement & Signature
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This section is incomplete
Personal Information
First Name
*
Middle Initial
Last Name
*
Address1
*
Address2
City
*
State
*
Zip
*
Phone Number
*
Email Address
*
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
*
(Proof of citizenship or immigration status will be required upon employment)
Yes
No
Continue
Position Information
Which position are you applying for?
*
Type of employment desired
*
Full Time
Part Time
Seasonal
Salary desired
Hours of work (per week) desired
Have you ever applied for a job with the City before?
*
Yes
No
Please specify
*
Have you ever been employed with the City before?
*
Yes
No
Please specify
*
Do any of your relatives work for the City?
Yes
No
Please specify
*
Do you have a valid driver’s license?
*
Yes
No
Issued Date
*
Issued Date
Issued State
*
Copy of Driver's License
*
Proof of insurance
*
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Military
Have your ever served in the armed forces of the United States?
Yes
No
From
*
From
To
*
To
Branch
Copy of your DD-214 form
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Employment
Are you currently on “lay-off” status and subject to recall?
Yes
No
Have you ever worked or attended school under any other name?
Yes
No
Please explain
*
Have you ever been terminated from a position or disciplined at work?
Yes
No
Give details
*
Are you capable of performing with or without a reasonable accommodation, the essential functions of the job or occupation for which you have applied?
Yes
No
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Employment Experience
(From Most Recent)
Employer
Address1
Address2
City
State
Zip
Supervisor
Phone Number
Job Title
Reason for Leaving
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Current/Final Salary
Work Performed
Employer
Address1
Address2
City
State
Zip
Supervisor
Phone Number
Job Title
Reason for Leaving
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Current/Final Salary
Work Performed
Employer
Address1
Address2
City
State
Zip
Supervisor
Phone Number
Job Title
Reason for Leaving
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Current/Final Salary
Work Performed
Employer
Address1
Address2
City
State
Zip
Supervisor
Phone Number
Job Title
Reason for Leaving
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Current/Final Salary
Work Performed
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Education
High School
Address1
Address2
City
State
Zip
Course of Study
No. of Years Completed
Diploma/Degree
Undergraduate College
Address1
Address2
City
State
Zip
Course of Study
No. of Years Completed
Diploma/Degree
Graduate/Professional
Address1
Address2
City
State
Zip
Course of Study
No. of Years Completed
Diploma/Degree
Other Specify
Address1
Address2
City
State
Zip
Course of Study
No. of Years Completed
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Business References (Supervisors and Co-Workers)
Please list three professional references.
Full Name
*
Relationship
*
Address
Phone Number
*
E-mail Address
Full Name
Relationship
Address
Phone Number
E-mail Address
Full Name
Relationship
Address
Phone Number
E-mail Address
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Other Qualifications
List any special certifications, such as LEADS, OPOTA, EMT, Firefighter, CDL, ASE, etc. Summarize special job related skills and qualifications acquired from employment or other experience. Please submit a copy of all current job related certifications with this application.
Copy of Certifications
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Prior Residence Information (Past 7 Years)
Address1
City
State
Zip
Date Resided
Date Resided Start Date
—
Date Resided End Date
Address1
City
State
Zip
Date Resided
Date Resided Start Date
—
Date Resided End Date
Address1
City
State
Zip
Date Resided
Date Resided Start Date
—
Date Resided End Date
Address1
City
State
Zip
Date Resided
Date Resided Start Date
—
Date Resided End Date
Address1
City
State
Zip
Date Resided
Date Resided Start Date
—
Date Resided End Date
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Resume
Upload Resume
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Applicant's Statement & Signature
I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application of employment as may be necessary in arriving at an employment decision. I understand that this application for employment shall be considered active for a period of time not to exceed 365 days and that at the expiration of that time period, I must reapply.
I understand that if any information given by me in the application and/or interview(s) is false or misleading. I will be disqualified from being considered for employment with the City of Fairlawn, or if I have been hired, that I will be subject to dismissal regardless of whether I have completed the probationary period, regardless of the passage of time after my hiring, and notwithstanding the receipt of any interim satisfactory performance.
Applicant Signature
*
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