Fillable EMPLOYMENT APPLICATION FORM (City of Parkville)

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EMPLOYMENT APPLICATION FORM (City of Parkville)

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

  • 0 signatures
  • 23 check-boxes
  • 97 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Parkville

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Date Submitted: ___________
M:\Administration\Human Resources\forms\Employment Application Form 2015.doc Page 1 of 3
EMPLOYMENT APPLICATION FORM
Notice to Applicant: We appreciate your interest in the City of Parkville and assure you that we are interested in your qualifications. A
clear understanding of your background and work history will aid us in evaluating your qualifications and may assist us in future
promotions. It is to your advantage to give complete and detailed answers to the questions in this application.
READ: It is the policy of the City that members of an immediate family shall not be employed under the same supervision. Neither
shall two members of an immediate family be employed at the same time regardless of the administrative department, if such
employment will result in an employee supervising a member of his/her immediate family. This policy applies to promotions,
demotions, transfers, reinstatements, and new appointments. The provisions of this section shall not be retroactive, and no action is to
be taken concerning those members of the same family employed at the time of the adoption of this section. Immediate family is
defined as wife, husband, mother, father, brother, sister, son, daughter, mother-in-law, father-in-law, son-in-law, daughter-in-law,
grandparents, grandchildren, stepmother, stepfather, brother-in-law, sister-in-law, uncle and/or aunt.
NAME (Last, First, MI) ________________________________________________ SSN ___________________________________
For checking prior records, provide previous names (if any, under which your records exist:
_____________________________________________________________________________________________________________
Street Address: ________________________________________ City: _____________________ State: ______ Zip: ______________
Home Phone: ____________________ Work Phone: ________________________ Cell Phone: ____________________________
Position(s) Desired:
(1) _________________________________________________ (2) _____________________________________________________
Employment Desired:
Full-time Part-time Temporary Date available for work: ______________________________________________
List relatives currently employed by the City of Parkville or put N/A: _____________________________________________________
Are you a citizen of the United States?
Yes No
Do you have permanent resident status in the United States?
Yes No
If you are not a citizen, are you prevented from becoming lawfully employed because of visa or immigration status?
Yes No
Explain: ______________________________________________________________________________________________________
Have you been convicted of any criminal offenses other than minor traffic violations?
Yes No
Disclosure of a criminal record will not necessarily disqualify you from employment consideration. Each conviction will be evaluated
on its own merit with respect to time, circumstances, and seriousness in relation to the job for which you are applying. However, failure
to disclose such information may result in disqualifying you from employment consideration or termination of employment.
M:\Administration\Human Resources\forms\Employment Application Form 2015.doc Page 2 of 3
List below present and past employment, beginning with your most recent:
Name and Address of
Company and Type of
Business
From
Mo. Yr.
To
Mo. Yr.
Starting Salary
(Monthly)
Ending Salary
(Monthly)
Name of Supervisor
Briefly describe the work you did:
Position Held:
Telephone:
Name and Address of
Company and Type of
Business
From
Mo. Yr.
To
Mo. Yr.
Starting Salary
(Monthly)
Ending Salary
(Monthly)
Name of Supervisor
Briefly describe the work you did:
Position Held:
Telephone:
Name and Address of
Company and Type of
Business
From
Mo. Yr.
To
Mo. Yr.
Starting Salary
(Monthly)
Ending Salary
(Monthly)
Name of Supervisor
Briefly describe the work you did:
Position Held:
Telephone:
Name and Address of
Company and Type of
Business
From
Mo. Yr.
To
Mo. Yr.
Starting Salary
(Monthly)
Ending Salary
(Monthly)
Name of Supervisor
Briefly describe the work you did:
Position Held:
Telephone:
Account for any time you were unemployed by stating the nature of your activities:
Have you ever supervised employees?
Yes No
Do you authorize inquiry about you from your previous employers?
Yes No
All but ________________________________________________________________________________________________
$
$
$
$
M:\Administration\Human Resources\forms\Employment Application Form 2015.doc Page 3 of 3
Educational Background
Name of School
Location
Dates Attended
Major Studies
Degree or Diploma
Received
High School
Relevant to the job(s) for which you are applying, please list those skills you have acquired, as well as types of machines with whose
operations you are familiar.
Do you have any hobbies or interests that have a direct bearing on the job(s) for which you are applying? Yes No. If so, list:
List professional as well as volunteer organization or societies that have a direct bearing upon your qualifications for the job(s) for which
you are applying.
Do you have a current Driver’s License?
Yes No Do you have a current CDL? Yes No
If so, give license number, state of issuance and class identification: _____________________________________________________
Was your license ever suspended or revoked?
Yes No
Do you currently have points against your license?
Yes No
List three (3) personal acquaintances who can give reference of your character, ability and so forth. Do not include relatives or former
employers.
Name
Address
(street, city, state)
Telephone
Occupation
Years
Acquainted
PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING THIS APPLICATION
In filling out this application, I understand that the City of Parkville is in no way obligated to provide employment nor am I obligated to
accept employment. The information provided in this Application for Employment is true, correct and complete. If employed, any
misstatement or omission of fact on this application may result in my dismissal.
I hereby give the City of Parkville authorization to conduct driver’s license verification through the Parkville Police Department. I
hereby grant the City permission to check personal background information except where my written statement upon this application
form specifically requests that no investigation be made.
_______________________________________________________ ___________________________________________________
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EMPLOYMENT APPLICATION FORM (City of Parkville)

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Completed 19 January 2021

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