The City of Douglas does not discriminate on the basis of Race, Color, National Origin, Sex, Religion, Age, Veteran Status, Genetics or Disability or any other
legally protected status in employment or the provision of services.
Your signed application can only be accepted in hard copy form. Please submit your completed application to:
City of Douglas HR Department
Street, Douglas, AZ 85607
Job Announcement Number:
Type of Position you are interested in: Full Time Part Time Temporary
Seasonal Weekends Shifts
When would you be available to start work?
City: State: Zip:
Mailing Address (If different from above)
Driver’s License/CDL No. & State: Class:
If CDL, list all endorsements
Are you legally authorized to work in the United States? Yes No
Have you ever worked or volunteered for the City of Douglas? Yes No
If yes, please give dates:
If you answered yes to the above question, and you were employed under a different name, please list the name
Are any of your relatives employed by the City of Douglas? Yes No
CITY OF DOUGLAS
An affirmative action and equal opportunity employer.