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Welcome to the Pikeville City, KY, Action Line
Today is Friday, August 23, 2019. Level One Renaissance City.
City of Pikeville, KY. The City that Moves Mountains
Application For Employment

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:

* Your Full Name:
* Telephone Number:
* Position Interested In?
* Type of Employment desired?
* Rate of Pay Expected?
* Date available for work?
* Are you over the age of 21?
* If necessary, best time to call you at is...
* May we contact you at work?

* What is your Kentucky Drivers License Number:
* Are you related to anyone currently working for this employer?
* If yes, list name(s) and relationship(s):
* Recruitment By:
* Have you submitted an application here before?

* Are you legally eligible for employment in this country?

* 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?

* Will you travel if the job requires it?

* Will you work overtime if the job requires it?

* Have you been bonded?

* Have you been convicted of any felony or misdemeanor as an adult (over 18)?

If yes, list below. A conviction includes any fines paid, probation served or jail sentences (omit parking tickets, include moving violations). Conviction of a crime is not an automatic rejection. The specific situation will be reviewed. Failure to reveal information on this question is a cause for automatic rejection.
* Current Salary?
* 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

* High School (Name and Address)
* Completed?
* College (Name and Address) Degree Received/ Field
* College Completed

* 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 #)
* Certifications You Hold Job Related
* Do you have any experience in the field you have applied for?


Check here to have email confirmation of this submission.

* Information is required.


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

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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