CITY OF GROVELAND EMPLOYMENT APPLICATION
(excluding Firefighter applicants)
Page 6 of 7
Please read carefully, initial each paragraph, and sign below
At-will. I agree that neither the acceptance of this application nor the subsequent entry into any type of employment
relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks,
benefit plans, policy statements, and the like as they may exist from time to time, or other City practices, shall serve to create
an actual or implied contract of employment for a definite term, or to confer any right to remain an employee of the City, or
otherwise to change in any respect the employment-at-will relationship between the City and the undersigned. Both the
undersigned and the City may end the employment relationship at any time, without specified notice or reason.
Application Disclosure and Release. I authorize investigation of all statements contained in this application. I understand
that the misrepresentation or omission of facts called for is grounds for dismissal at any time without any previous notice. I
hereby give the City permission to directly contact schools, previous employers (unless otherwise indicated), references, and
others with relevant information (excluding any medical information except post-offer if required for the position and as
permitted by law, or any information protected by law such as genetics, protected classifications, etc.) that may be useful to
the City in making a hiring decision and I hereby release the City and such persons and organizations from any liability as a
result of such contact. If employed, I also grant permission for the City to release information concerning my employment to
prospective employers and, I release the City from any legal liability in providing any information. If the City will use a third
party to obtain this information about me then I understand that separate Fair Credit Reporting Act (FCRA) Disclosures and
Consents for consumer reports and investigative consumer reports) will be required to be completed at the appropriate time
during the application process or during employment, and FCRA inquiries into any criminal history will be done only as
permitted by applicable Florida law, including the timing of making the inquiries.
CBA. The City and the International Union Police Associates, AFL-CIO and the Groveland City Employee Associates Local
6091 (the “Union”) negotiated a collective bargaining agreement (“CBA”). The City approved the CBA but the Union did not
approve the CBA so it has not yet been ratified. If hired by the City and if my position falls under a ratified CBA I understand
that I should refer to the CBA for further information. I understand that nothing in the CBA as approved by the City affects the
right of the City to modify or amend its handbook at any time. I am hereby informed that per the terms of the CBA approved by
the City, in the event of a conflict, between the handbook and the CBA, the handbook (referred to as the Personnel Policy
Manual in the CBA
Driving. I understand that if driving is required for my position then a driver’s license check will be conducted in accordance
with applicable law (through a direct MVR or as part of the third party background check conducted under the FCRA). If
driving is a condition of my employment, then if employed I agree to immediately notify the City if my driver’s license is
suspended or revoked.
Public Records. If I become employed by the City I am aware that as a public employer the City must follow Florida’s public
records laws. I am aware that all e-mail sent to or from the City’s email address becomes part of the City’s public records, and
may include my personal email communications. Comments received by the City e-mail system can be read by anyone who
requests that privilege. In compliance with "Government in the Sunshine" laws, the City must make available, at request, any
and all information not deemed a threat to the security of law enforcement agencies and personnel. All City employees have
ation to compl
with Florida’s public records law.
Post Offer Medical Information and Release. I understand that if I am given a conditional offer of employment and if required
for my position (law enforcement) I will be required to accurately and truthfully complete a post offer medical questionnaire
and/or undergo a physical examination and I consent to the release to the City of any and all medical information, as may be
requested or required by the City in judging my capability to do the work for which I am applying. I understand that if
required, all entering employees in the same job category will be subject to the same medical questionnaire and/or
examination and all information will be kept confidential and in a separate file. All other medical examinations will be
requested and required as permitted by applicable laws such as the Americans with Disabilities Act (if applicable to the City).
FDLE Consent. I hereby consent to the City obtaining a public criminal history records check on me at the City’s expense and
I understand the report will be run by the Florida Department of Law Enforcement through its public records check process.
Drug Testing. I understand that if I have applied for a positon which is considered a mandatory-testing position (for example
one requiring operating machinery or driving) or safety sensitive position (law enforcement) I will be required to submit to a
pre-employment drug test. If I have questions on whether the positon I have applied for is one that requires a pre-
employment drug test I may contact the City Human Resource Manager for more information.
FCRA. If I am conditionally offered a position then I understand that separate federal Fair Credit Reporting Act disclosures and
acknowledgments will be provided to me and required to be signed by me as the applicant so the City can obtain consumer
reports and investigative consumer reports on me which will be provided by a third party and that my offer is conditioned on a
successful background check.
I HAVE READ CAREFULLY, HAD THE OPPORTUNITY TO ASK QUESTIONS ABOUT, UNDERSTAND, AND
OLUNTARILY AGREE TO THE ABOVE CONDITIONS OF ANY EMPLOYMENT THAT MAY BE OFFERED TO ME B
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