* Information is required.
Alternate Address Street. City, State, Zip: |
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* Date of Application |
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* PERSONAL INFORMATIONAre you a United States citizen? |
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If you are not a United States citizen, are you authorized to work in the United States? |
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* Are you at least 16 years of age? |
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* Are you at least 18 years old? |
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* Have you ever been convicted, served a jail or prison sentence, or been placed on probation because of committing a felony or misdemeanor (other than a traffic violation or juvenile offense)? |
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If you answered yes to the question above, please provide details below. (A criminal record will not necessarily exclude you from employment. Please give all facts so that an accurate decision may be made) |
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* Have you ever been employed by the City of Farmington? |
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If you answered yes to the question above, please provide the following.Date: |
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Department: |
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Position: |
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Reason for leaving: |
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* Have you ever been employed or attended school under any other names? |
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If you answered yes to the above question, please list the name or names: |
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* Do you have relatives working for the City of Farmington? |
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If you answered yes to the question above, please list name and relationship: |
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* Position(s) applying for: |
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* If an offer of employment is made, when would you be available for work? |
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* Are you currently employed? |
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* EDUCATION AND TRAINING
Name and Address of High School |
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* Diploma or Degree? |
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* Major / Subjects of Study? |
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Name and address of College |
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Diploma or Degree? |
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Major / Subjects of Study? |
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Name and address of specialized training, trade schools, etc. |
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Diploma or Degree? |
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Major / Subjects of Study? |
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Name and address of other education |
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Diploma or Degree? |
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Major / Subjects of Study? |
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Please list areas of highest proficiency, special sills, or other items that may contribute to your abilities in performing the above mentioned position. |
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WORK HISTORY
Please list previous work history beginning from the most recent. |
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PREVIOUS EMPLOYMENT
Dates Employed: |
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Company Name: |
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Address: |
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Role / Title: |
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Last Salary: |
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Supervisor's Name and Telephone Number: |
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May we contact this employer? |
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Job notes, duties, tasks performed, and reason for leaving: |
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PREVIOUS EMPLOYMENT
Dates Employed: |
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Company Name: |
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Address: |
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Role / Title |
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Last Salary: |
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Supervisor's Name and Telephone Number: |
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May we contact this employer? |
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Job notes, duties, tasks performed, and reason for leaving: |
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PREVIOUS EMPLOYMENT
Dates Employed: |
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Company Name: |
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Address: |
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Role / Title: |
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Last Salary: |
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Supervisor Name and Telephone Number: |
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May we contact this employer? |
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Job notes, duties, tasks performed, and reason for leaving: |
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* MILITARY SERVICE
Are you a veteran of the U.S. Armed Services? |
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Dates of service (From / To): |
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Rank at Discharge: |
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PERSONAL REFERENCES Former employers and relatives may not be used as personal references. |
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* REFERENCE #1
Name and Occupation |
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* Address |
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* Telephone Number |
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* REFERENCE #2
Name and Occupation |
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* Address: |
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* Telephone Number: |
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* REFERENCE #3
Name and Occupation: |
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* Address: |
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* Telephone Number: |
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* How did you hear about this job opening? |
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* Information is required.
Please read the following statements carefully and indicate your understanding and acceptance by submitting this application online.
1. I certify that all information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information may be ground for refusal to hire, or, if hired, termination.
2. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the United States.
3. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you.
4. I understand that if offered employment, a pre-employment drug screening and background check will be required.
5. I understand that Missouri Law provides that employees of municipalities are employed “at will”, and employment lasts only as long as the employer (City) desires. No reason is required to terminate the employment relationship.