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City of Smithville Application for Employment

We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status.
Position(s) applied for:*
Date of application:*
How did you hear about the position?*
First Name*
Middle Name (optional)
Last Name*
Street Address*
State*
ZIP Code*
Street Address 2 (optional)
Date of Birth*
Contact Phone Number (optional)
Contact Email*
Best time of Contact*
Please enter a time that works best for contacting you.
AM/PM*
Please make a selection.
1. AM
2. PM
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Start with your present/last job. Include any job-related military service assignments and volunteer activities.
Employer
Address
Dates Employed
Supervisor
Contact Phone Number
Salary/Hourly Rate
Job Title & Work/Duties Performed
Reason for leaving
Employer
Address
Dates Employed
Supervisor
Contact Phone Number
Salary/Hourly Rate
Job Title & Work/Duties Performed
Reason for leaving
Employer
Address
Dates Employed
Supervisor
Contact Phone Number
Salary/Hourly Rate
Job Title & Work/Duties Performed
Reason for leaving
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Additional Training or Specialization
Describe and summarize any specialized training, apprenticeship, job related skills or extra-curricular activities you would like to be considered for your application:
Specialized Skills
Please check if you have experience in the following.
1. Windows
2. Mac
3. Microsoft Office Suite
4. Outlook or other email programs
5. Typing
6. Heavy Equipment or Machinery
7. Other
How many words per minute?
Please list the machinery you're specialized in
Please list your other specialized skills
State any additional information you feel may be helpful to us in considering your application
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I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment 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 45 days. 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.
Name*
Date*