Employment Form Full Employment Application Position Applied ForName First Last Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneAre you at least 18 years of age ? Yes No Are you a citizen of the United States or otherwise legally eligible to work in the U. S. ? Yes No Have you previously applied to the City of Waterville? Yes No If yes, when ?Have you ever been employed by the State of Ohio or any county or municipality in Ohio ?EMPLOYMENT PREFERENCEPLEASE DESCRIBE, IN ONE OR TWO SENTENCES, THE TYPE AND NATURE OF EMPLOYMENT YOU ARE SEEKING.Position Desired Full Time Part Time No Preference Type of PositionPermanentIntermittentTemporarySeasonalNo PreferenceDesired SalaryDate AvailableMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you able to perform all job-related functions of the specific position for which you are applying? Yes No Do you currently possess a valid Ohio Driver’s License ? Yes No Commercial Driver’s License ? Yes No If necessary, can you supply your own transportation for work use ? Yes No Are you willing and able to secure any license or certification required for this position ? Yes No MILITARY SERVICEBranchFromToRank at DischargePREVIOUS EMPLOYMENTLIST ALL EMPLOYMENT AND WORK EXPERIENCE DURING THE PAST 20 YEARS, IN DATE ORDER. BEGIN WITH YOUR CURRENT OR MOST RECENT EMPLOYMENT. OMISSION OF ANY EMPLOYMENT DURING THE PAST 20 YEARS MAY BE GROUNDS FOR DISQUALIFICATION. USE ADDITIONAL SHEETS, IF NECESSARY.Current EmployerPhoneAddressSupervisor Name Job TitleStarting SalaryEnding SalaryResponsibilitiesFromToReason for LeavingPast EmployerPhoneAddressSupervisor Name Job TitleStarting SalaryEnding SalaryResponsibilitiesFromToReason for LeavingPast EmployerPhoneAddressSupervisor Name Job TitleStarting SalaryEnding SalaryResponsibilitiesFromToReason for LeavingPast EmployerPhoneAddressSupervisor Name Job TitleStarting SalaryEnding SalaryResponsibilitiesFromToReason for LeavingEDUCATIONHigh SchoolCity/StateDid you graduate? Yes No CollegeCity/StateDid you graduate? Yes No DegreeTrade SchoolCity/StateDid you graduate? Yes No DegreeAdditional SchoolCity/StateDid you graduate? Yes No DegreePLEASE DESCRIBE COURSES YOU COMPLETED OR TECHNICAL TRAINING YOU RECEIVED WHICH YOU BELIEVE WILL HELP YOU PERFORM THE JOB FOR WHICH YOU ARE APPLYING. INCLUDE SPECIAL MACHINERY OR EQUIPMENT YOU ARE QUALIFIED TO OPERATE, HOBBIES OR VOLUNTEER WORK PROJECTS WHICH TAUGHT YOU QUALIFYING SKILLS.REFERENCESName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneADDITIONAL EXPLANATION / INFORMATIONUSE THIS SPACE FOR ANY ADDITIONAL EXPLANATION OR INFORMATION PERTINENT TO YOUR APPLICATION FOR EMPLOYMENT
