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Welcome to the Pikeville City, KY, Action Line

Today is Saturday, November 21, 2009. Gold Level Renaissance City.

Application For Employment

City of Pikeville, KY... The City that Moves Mountains

City of Pikeville Employment Application. Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Email:
* Daytime Phone:	() –
* Fax:	() –
* Address:
* City:
* State:
* ZIP:

* Position Interested In?

* Name:

* Telephone Number:

* Referral Source

* If necessary, best time to call you at is...

* May we contact you at work?

Yes

* If you are under 18, and it is required, can you furnish a work permit?

* Have you submitted an application here before?

Yes

* Type of Employment desired?

* Date available for work?

* Are you legally eligible for employment in this country?

Yes

* Per the job duties explained to you, are you able to meet the attendance requirements of the position?

* Will you relocate if the job requires it?

Yes

* Will you travel if the job requires it?

Yes

* Will you work overtime is the job requires it?

Yes

* Have you been bonded?

Yes

* Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?

Yes

If yes, please provide date(s) and details

* Employer

* Employer Telephone #

* Address

* Immediate Supervisor and title

* Why did you leave?

* Summarize your job responsibilities

Dates Employed: Compensation (Starting) Compensation (Ending)

* Employer

* Telephone #

* Address

* Immediate supervisor and title

* Why did you leave?

* Summarize your job responsibilities

* Dates Employed: Compensation (Starting) Compensation (Ending)

* Skills and Qualifications: Summarize any special training, skills, licenses and or certificates that may assist you in performing the position for which you are applying.

* Computer Skills

Word Processing

Spreadsheet

Presentation

E-mail

Internet

Other

* High School (Name and Address)

* Completed?

* College (Name and Address)

* College Completed

Dipolma

Degree

Certificate

Other

* Vocational School/Training (Name and Address)

* Applicant Must Be 21 Years of Age to Apply. Are you 21 or Older?

* Reference (Name)

* Reference (Address)

* Reference (Telephone #)

* Reference (Name)

* Reference (Address)

* Reference (Telephone #)

* Reference (Name)

* Reference (Address)

* Reference (Telephone #)

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a application, you'll receive a Tracking Number allowing you to follow-up with your process, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Equal Opportunity Employer

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