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Applicant Information

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Applicant Information
Applicant Last Name:*
Applicant First Name:*
Middle Initial:
Address1:*
Address2:
City:*
State:*
Zip:*
Phone:*
Email:*
Are you eligible to work in the United States?*
1. Yes
2. No
Employment desired?*
1. Full Time
2. Part Time
Have you ever worked for the City of Broadview Heights.?*
1. Yes
2. No
Hours per of work per week desired?*
Do you have a friend or relative that works for the City of Broadview Heights?*
1. Yes
2. No
If so, please provide their name & relationship to you.*
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Previous Employment
If you have no prior work experience, or have not worked three previous jobs, you may substitute volunteer experience or type 'N/A'.
Employer Name:*
Job Title:*
Phone Number:*
Supervisor Name:*
Street Address:*
City/State/Zip:*
Starting Salary:
Ending Salary:
May we contact this employer?*
1. Yes
2. No
Start Date:*
End Date:*
Reason for leaving?*
Duties performed?
Employer Name:
Job Title:
Phone Number:
Supervisor Name:
Street Address:
City/State/Zip:
Starting Salary:
Ending Salary:
May we contact this employer?
1. Yes
2. No
Start Date:
End Date:
Reason for leaving?
Duties performed?
Employer Name:
Job Title:
Phone Number:
Supervisor Name:
Street Address:
City/State/Zip:
Starting Salary:
Ending Salary:
May we contact this employer?
1. Yes
2. No
Start Date:
End Date:
Reason for leaving?
Duties performed?
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Please list at least three professional references. Please do not include family members.
Full Name:*
Relationship:*
Company:
Phone:*
Address:
Full Name:*
Relationship:*
Company:
Phone:*
Address:
Full Name: *
Relationship:*
Company:
Phone: *
Address:
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Resume & Cover Letter Upload
Please note: if you chose to save your work and finish later, uploads will NOT save. You must re-upload your documents.
Resume:
Cover Letter
Additional Documents
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Disclaimer & Signature
I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment. I understand that the company may require me to successfully complete a pre-employment drug and alcohol test as a condition of employment and that continued employment may be based on the successful completion of similar tests. I understand that the company may as part of the hiring process request an investigative consumer report from a third party entity or agency including information concerning my character, general reputation, personal characteristics, credit records, and mode of living. I may make a written request to the company to provide me with additional information regarding the nature and scope of any such report. I understand that employment with your company is “at will” and nothing in the interview or hiring process, this application, or your company policies are intended to create an employment contract between myself and the company. Employment may be terminated by either party at any time for any reason with or without notice.
Signature:*
Date:*

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