I certify that my answers given herein are true and complete.
I authorize the Town of Huachuca City and its authorized entities to investigate all statements
contained in this application for employment as may be necessary when determining an applicant’s
employment status.
This application for employment shall be considered active for a period of time not to exceed 45
(forty-five) days. Any applicant wishing to be considered for employment beyond this time period
should inquire as to whether or not applications are being accepted at that time.
In the event of employment, I understand that false or misleading information given in my
application or interview(s) may result in discharge. I understand also, that I am required to abide by
all rules and regulations of the Town of Huachuca City.
_______________________________ ______________
Applicant’s Signature Date
For Personnel Department Use Only
Position(s) Applied For is Open: ☐Yes ☐No
Positions Considered For: __________________________________________
__________________________________________
Date: ______________________
Arrange Interview: ☐Yes ☐No
Remarks: ________________________________________________________
________________________________________________________
________________________________________________________
Employed: ☐Yes ☐No Date of Employment: ____________________
Job Title: _________________________ Hourly Rate/Salary: _____________________
Department: _________________________
By: _________________________ ________________________
Name and Title Date
Electronic Application Submission
I hereby confirm everything contained in this application is true and accurate and am electing to submit my
application for employment with the Town of Huachuca City, electronically.
Initials
Date
HC_EmploymentApp_rev1_June2015
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