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General Employment Application

Step 1 of 10

Open Positions
If there are not any open positions that are actively accepting applications, please feel free to fill out your City of Nowata Employment Application for future positions.
Select the City position (s) you are applying for consideration.*
What position (s) would you like to be considered for in the future*
You selected "other" or we are not actively hiring for any specific City positions. Please describe what positions you would like to be considered for in the future.

City of Nowata General Application for Employment
The City of Nowata considers applications for employment without regard to race, color, national origin, ancestry, religion, sex, age, disability, political belief, military service, or any other protected class. The City of Nowata is a drug free workplace!
Employment History
List your last three employers or volunteer activities, starting with the most recent
Employer #1
Employer #1 - Name of Employer*
Job Title*
Supervisor*
Start Date*
Month
Day
Year
Starting Annual Salary*
Are you still employed at this employer?*
End Date*
Month
Day
Year
End Annual Salary*
Job Description*
Include duties and responsibilities.
Employer's Telephone Number*
May we contact your employer?*
Reason for leaving:*
Employer #2
Employer #2 - Name of Employer*
Job Title*
Supervisor*
Start Date*
Month
Day
Year
Starting Annual Salary*
Are you still employed at this employer?*
End Date*
Month
Day
Year
End Annual Salary*
Job Description*
Include duties and responsibilities.
Employer's Telephone Number*
May we contact your employer?*
Reason for leaving:*
Employer #3
Employer #3 - Name of Employer*
Job Title*
Supervisor*
Start Date*
Month
Day
Year
Starting Annual Salary*
Are you still employed at this employer?*
End Date*
Month
Day
Year
End Annual Salary*
Job Description*
Include duties and responsibilities.
Employer's Telephone Number*
May we contact your employer?*
Reason for leaving:*

City of Nowata General Application for Employment
The City of Nowata considers applications for employment without regard to race, color, national origin, ancestry, religion, sex, age, disability, political belief, military service, or any other protected class. The City of Nowata is a drug free workplace!
Military Service
Did you serve within a branch of the United States Military?*
Branch of Service*
Date Service Began*
Month
Day
Year
Date Service Ended*
Month
Day
Year
Rank & Duties*
Date Discharged*
Month
Day
Year
Location (s) Served/Stationed*
Employment Gaps
Have you had any employment gaps in your work history?*
Please explain your employment gaps*

City of Nowata General Application for Employment
The City of Nowata considers applications for employment without regard to race, color, national origin, ancestry, religion, sex, age, disability, political belief, military service, or any other protected class. The City of Nowata is a drug free workplace!
Education and Training
High School
High School Name*
High School Address*
Street Address Address Line 2 City State ZIP Code
Years Completed*
Did you graduate?*
If not, highest grade completed*
Have you received your GED?*
College
Did you attend college?*
College or University Name*
College or University Address*
Street Address Address Line 2 City State ZIP Code
Years Completed*
Did you graduate?*
If not, highest year completed*
Degree Level Earned*
Your Degree/Major*
Do you have an additional college or university experience to report?*
College or University Name*
College or University Address*
Street Address Address Line 2 City State ZIP Code
Years Completed*
Did you graduate?*
If not, highest year completed*
Degree Level Earned*
Your Degree/Major*
Trade/Technical School
Did you attend trade/technical school?*
Trade/Technical School Name*
Trade/Technical School Address*
Street Address Address Line 2 City State ZIP Code
Years Completed*
Did you graduate?*
If not, highest year completed*
Did you earn a certificate?*
What did you earn in certificate in?*
When does your certificate expire?*
Did you earn a license?*
What did you earn in license in?*
License*
When does your license expire?*
Other School/Training
Do you have an additional school/training to report?*
Other School/Training Site Name*
Other School/Training Site Address*
Street Address Address Line 2 City State ZIP Code
Years Completed*
Did you graduate?*
If not, highest year completed*
Please explain the degree, certificate and/or license earned from this other school/training site*
Additional Qualifications and Information
Do you have any additional qualifications or information, personal or professional, that you feel would be beneficial for us to know when considering your application:*
Please describe any additional qualifications or information, personal or professional, that you feel would be beneficial for us to know when considering your application:*

City of Nowata General Application for Employment
The City of Nowata considers applications for employment without regard to race, color, national origin, ancestry, religion, sex, age, disability, political belief, military service, or any other protected class. The City of Nowata is a drug free workplace!
References
Please provide three persons, other than relatives, who have knowledge of your work experience and/or education.
Professional Reference #1 - Name*
Prefix First Last
Professional Reference #1 - Address*
Street Address Address Line 2 City State ZIP Code
Occupation*
Years Known*
Professional Reference #1 - Phone Number*
Professional Reference #2 - Name*
Prefix First Last
Professional Reference #2 - Address*
Street Address Address Line 2 City State ZIP Code
Occupation*
Years Known*
Professional Reference #2 - Phone Number*
Professional Reference #3 - Name*
Prefix First Last
Professional Reference #3 - Address*
Street Address Address Line 2 City State ZIP Code
Occupation*
Years Known*
Professional Reference #3 - Phone Number*

City of Nowata General Application for Employment
The City of Nowata considers applications for employment without regard to race, color, national origin, ancestry, religion, sex, age, disability, political belief, military service, or any other protected class. The City of Nowata is a drug free workplace!
References
Please provide two personal references that have known you for at least three years outside of work.
Personal Reference #1 - Name*
Prefix First Last
Personal Reference #1 - Address*
Street Address Address Line 2 City State ZIP Code
Occupation*
Years Known*
Professional Reference #1 - Phone Number*
Personal Reference #2 - Name*
Prefix First Last
Personal Reference #2 - Address*
Street Address Address Line 2 City State ZIP Code
Occupation*
Years Known*
Professional Reference #2 - Phone Number*

City of Nowata General Application for Employment
The City of Nowata considers applications for employment without regard to race, color, national origin, ancestry, religion, sex, age, disability, political belief, military service, or any other protected class. The City of Nowata is a drug free workplace!
Acknowledgement
I certify that the information I have given on this application is true, complete and correct, and I understand that any false information, or the omission of information may be considered as sufficient reason for my discharge if hired. I recognize that completion of this application does not mean that job openings exist and does not obligate the Company in any way. Applications will remain active for six months, after which time re-application will be necessary. If hired, employment will be "at will" and either I or the Company is free to terminate the employment relationship at any time without cause and without prior notice. This application is not an agreement or a contract for employment.
If offered a position and at any time thereafter, I consent to medical examinations as may be required to determine my fitness to perform the job duties.
I understand that I may be required to undergo drug screening tests as a condition of employment. To comply with this requirement, I consent to providing a sample of my urine or other physical samples (such as blood or hair) prior to employment and again at any time so requested. Specimens will be tested for both legal (prescription drugs) and illegal substances.
A positive test for legal substances will require proof of a current prescription. I further consent to allow any doctor, hospital or testing laboratory to conduct any medical test or examination as may be required by the Company as a condition of my employment, and I hereby give my consent to the release of all information which the Company deems necessary to determine my ability to perform job duties now or in the future.
I further understand that refusal to submit to an alcohol or drug screen test at any time will result in immediate discharge from this Company.
I hereby authorize the Company to investigate my employment history with former employers and to make any further investigation deemed necessary in connection with my application for employment, including a criminal history check, driving history check, child abuse clearance check, and other such inquiries. I release the Company and all informants from all liability resulting from such inquiries. I waive all rights to see or review the information so furnished.
I certify that I am not now, nor have I ever been excluded from any state or federal health care program. I further understand that if it is determined that I was so excluded, my employment with the Company may be terminated.
Do you understand and agree to the acknowledgment above regarding your application for employment with the City of Nowata?*
- Yes, I understand and agree.
Your Full Name
First Middle Last
Please type your full name. This will be considered your signature for the agreement of the acknowledgment regarding your application for employment with the City of Nowata.
Today's Date*
Month
Day
Year
Would you like to receive SMS Text Alerts regarding your application?*
By checking "yes", I agree to receive texts from the City of Nowata regarding my application for employment. Message and data rates may apply.
- Yes
- No
SMS Text Alerts - Your Phone Number*
Please provide the mobile phone number that you would like to receive text alerts at from the City of Nowata.
Phone
This field is for validation purposes and should be left unchanged.

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General Employment Application

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Open Positions

City of Nowata General Application for Employment

City of Nowata General Application for Employment

City of Nowata General Application for Employment

City of Nowata General Application for Employment

City of Nowata General Application for Employment

City of Nowata General Application for Employment

City of Nowata General Application for Employment

City of Nowata General Application for Employment

City of Nowata General Application for Employment

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