Fillable City of Phoenix EMPLOYMENT APPLICATION (City of Phoenix)

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City of Phoenix EMPLOYMENT APPLICATION (City of Phoenix)

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The City of Phoenix EMPLOYMENT APPLICATION (City of Phoenix) form is 3 pages long and contains:

  • 1 signature
  • 16 check-boxes
  • 79 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Phoenix

BROWSE CITY OF PHOENIX (OR) FORMS

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City of Phoenix
Heart of the Rogue Valley
EMPLOYMENT APPLICATION
AN EQUAL OPPORTUNITY EMPLOYER
112 W 2
nd
Street
Phoenix, OR 97535
(541) 535-1955
FAX (541) 535-5769
Last Name
First Name
Address
City
State
Zip
Phone
Email Address
Position
Date you can start
Salary Desired
Are you employed now? Yes ____ No____ If so, may we contact your present employer? Yes ____ No ____
Dates employed
Reason for Leaving
How did you learn about this job opening?
School Level
Name & Location
No. of years
attended
Graduate?
Yes / No
Subjects Studied
High School
College
Trade, Business
or
Correspondence
Subjects of Special Study or Research Work
Special Training
Special Skills
POSITION YOU ARE
APPLYING FOR
PERSONAL
INFORMATION
GENERAL
EDUCATION
City of Phoenix Employment Application - 2
Starting with most recent employer, list last three employers:
Name of Present or Last Employer
Address
City
State
Zip
Job Title
Start Date
Leave Date
Reason for leaving or desiring to leave
Name of Supervisor/Title
Phone
May we contact?
Yes ____ No ____
Description of Work
Name of Previous Employer
Address
City
State
Zip
Job Title
Start Date
Leave Date
Reason for leaving
Name of Supervisor/Title
Phone
May we contact?
Yes ____ No ____
Description of Work
Name of Previous Employer
Address
City
State
Zip
Job Title
Start Date
Leave Date
Reason for leaving
Name of Supervisor/Title
Phone
May we contact?
Yes ____ No ____
Description of Work
PREVIOUS
EMPLOYMENT
PREVIOUS
EMPLOYMENT
CURRENT OR PREVIOUS
EMPLOYMENT
City of Phoenix Employment Application - 3
Name
Email Address
Phone
Years
Acquainted
Are you a veteran of the US Armed Forces? Yes ____ No ____
If yes and you want to use Veterans' Preference, you must provide a copy of your DD214/DD215 form or a letter
from the U.S. Department of Veterans Affairs indicating receipt of a non-service connected pension.
Do you have a service-connected disability? Yes ____ No ____
If yes and you want to use Veterans' Preference, you must provide a copy of your Veterans' Preference Letter from
the U.S. Department of Veterans Affairs.
Please describe any transferrable skills obtained through military education or experience that substantially
relate to the position being applied for:
AUTHORIZATION
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY
THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. DIGITAL SIGNATURES
ARE ACCEPTABLE. IF YOU HAVE ANY QUESTIONS REGARDING THESE STATEMENTS, PLEASE ASK
THEM BEFORE SIGNING.
I understand and agree that:
1. The answers and information that I have provided on this application, and any résumé or other supplementary
materials, are true and complete without omissions. I understand that any false information will be grounds for refusal
to hire or for immediate discharge if I am employed. I authorize any of the persons or organizations named in this
application to give the City of Phoenix complete information and records regarding my employment, education,
character, and qualifications.
2. I understand that information regarding my prior compensation is not being requested with this application, nor will
prior compensation be considered in determining an original offer of employment in the event an offer is presented.
3. I will be responsible for familiarizing myself with all rules and regulations of the City of Phoenix as they presently
exist or are later modified. I recognize that if I am hired, my employment can be terminated at the discretion of the
City of Phoenix or at my option at any time without notice, except as specifically set forth in writing in a current
individual employment contract signed by an authorized representative of the City.
4. I also understand that no representative of the City has any authority to enter into any employment agreement for any
specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment,
except in a current individual employment contract signed by an authorized representative of the City. I further
understand that if I am hired, the City of Phoenix reserves the right to revise the terms and conditions of my
employment as it deems necessary.
Signature
Date
The City of Phoenix is an equal employment opportunity employer. All applicants will be considered on the basis of
their qualifications without regard to age, race, color, national origin, gender, religion, disability, or other protected
status in accordance with applicable federal, state, and local equal employment opportunity laws.
VETERANS’ PREFERENCE
REFERENCES
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City of Phoenix EMPLOYMENT APPLICATION (City of Phoenix)

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Completed 24 January 2021

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