[City of Bradford] Employment Application

City of Bradford
Application for Employment

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presense of a non-job related medical condition or disability or any other legally protected status.

What position are you applying for?

Department

How did you learn about us?

First Name

Middle

Last Name

Primary Phone

Alternative Phone

Email Address

Preferred Contact Method

Please Type Your Full Street Address

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Have you filed an application with us before?

If yes, give date

Have you ever been employed with us before?

If yes, give date

Are you currently employed?

May we contact your present employer?

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Can you provide proof of citizenship or immigration status upon employment?

Date of Availability

Are you currently on "lay-off" status and subject to recall?

Do you have a current valid Driver's License?

Do you have a current valid Commercial Driver's License?

Have you ever been convicted of a felony or misdemeanor?

If yes, what was the conviction?

Education

Elementary School

Elementary School City

Elementary School Years Completed

High School Name

High School City

High School Diploma Received?

College/University Name

Undergraduate Course of Study

College Degree Type

Graduate School Name

Graduate Course of Study

Graduate Degree Type

Describe any specialized training, apprenticeship, skills and extra-curricular activities

Describe any honors you have received

State any additional information you feel may be helpful to us in considering your application

Indicate any foreign languages you can speak, read or write.

Speak - Fluent

Speak - Good

Speak - Fair

Read - Fluent

Read - Good

Read - Fair

Write - Fluent

Write - Good

Write - Fair

List professional, trade, business or civic activities and offices held.

References

Give name, address and telephone number of three references who are not related to you and are not previous employers.

Reference Name

Reference #

Reference Email

Reference Name 2

Reference #

Reference Email

Reference Name 3

Reference #

Reference Email

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.

Employer 1

Dates Employed 1

Employer 1 Address

Employer 1 Phone Number

Job Title 1

Supervisor 1

Work Performed 1

Reason for Leaving 1

Employer 2

Dates Employed 2

Employer 2 Address

Employer 2 Phone Number

Job Title 2

Supervisor 2

Work Performed 2

Reason for Leaving 2

Employer 3

Dates Employed 3

Employer Address 3

Employer 3 Phone Number

Job Title 3

Supervisor 3

Work Performed 3

Reason for Leaving 3

Employer 4

Dates Employed 4

Employer 4 Address

Employer 4 Phone Number

Job Title 4

Supervisor 4

Work Performed 4

Reason for Leaving 4

Special Skills and Qualifications

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation, including criminal background, Child Abuse History Clearance, motor vehicle records and credit check when applicable to the position of employment and as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed six (6) months. 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.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

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 employer.

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Document Signers

- Applicant