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Job Application
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Steps
1.
Step One
This section is complete
This section is incomplete
2.
Education
This section is complete
This section is incomplete
3.
Licenses, Certifications and Training
This section is complete
This section is incomplete
4.
Employment History
This section is complete
This section is incomplete
5.
References and Contacts
This section is complete
This section is incomplete
6.
Resume and Cover Letter Submissions
This section is complete
This section is incomplete
7.
Equal Employment Opportunity Questionnaire
This section is complete
This section is incomplete
Step One
City of Spring Hill Employment Application | An Equal Opportunity Employer
It is our policy to comply fully with all federal, state, and local equal employment laws. This organization provides equal employment and advancement opportunities for all persons regardless of race, creed, sex, national origin, age, religion, disability, martial status, sexual, orientation or any other classification protected by law.
Position Applied For
*
-- Select One --
Police Officer
Water Operator
Last Name
*
First Name
*
Middle Initial
Other Names You Have Used
Address
*
City
*
State
*
Zip Code
*
Contact Phone Number
*
Are You At Least 18 Years Old?
*
Yes
No
Email Address
*
Salary Requirements
*
How did you learn about this position?
*
Date Available
Have you ever been employed by this organization?
*
Yes
No
When?
Department
Supervisor
Reason for Leaving
Are you related to anyone currently employed by the City of Spring Hill?
*
Yes
No
Name of relative
Relationship
Have you ever been convicted of a felony? A conviction will not necessarily disqualify an applicant from employment.
If yes, give location, date, charge, and disposition of case(s) on a separate page.
Yes
No
Do you have a valid driver's license?
*
If applying for a position which requires driving a vehicle, please provide this information.
Yes
No
Can you, if hired, submit verification of your legal right to work in the United States?
*
Yes
No
If you have served in the U.S. Military, please provide the following information:
Branch of Service
Dates Served
Type of Discharge
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Education
High School
*
City
*
State
*
Did you graduate?
*
Yes
No
Community or Junior College
City
State
Years Completed
1
2
Units Completed
Degree/Major
Business or Trade School
City
State
Years Completed
1
2
Units Completed
Degree/Major
College or University
City
State
Years Completed
1
2
3
4
5
6
Units Completed
Degree(s)
Major(s)
College or University
City
State
Years Completed
1
2
3
4
Units Completed
Degree(s)
Major(s)
Graduate School
City
State
Units Completed
Degree(s)
Major(s)
Graduate School
City
State
Units Completed
Degree(s)
Major(s)
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Licenses, Certifications and Training
Professional Licenses and Certifications
Job-Related
Type of License or Certification
Date Issued
Registration Number
State
Expires MO/YR
Type of License or Certification
Date Issued
Registration Number
State
Expires MO/YR
Type of License or Certification
Date Issued
Registration Number
State
Expires MO/YR
Type of License or Certification
Date Issued
Registration Number
State
Expires MO/YR
Professional, Scholastic, and Other Organizations
Job-Related
Name
Date
Name
Date
Name
Date
Name
Date
Name
Date
Job-Related Training
Name of Course
Year Completed
Name of Course
Year Completed
Name of Course
Year Completed
Name of Course
Year Completed
Name of Course
Year Completed
Skill Inventory
Clerical
Typing
Recordkeeping
Filing
Telephone
Calculator/Adding Machine
Cashiering
Key Punch
Purchasing
Dictaphone
General Accounting
Payroll
Credits and Collection
Utility Biliing
Technical
Computer Programming
Illustrating/Design
E.M.T.
Drafting
Surveying
Photography
Electrical Repair
Construction Inspection
Maintenance
Construction
Backhoe/Loader
General Labor
Chain Saw
Vehicle Mechanic
Hand Tools
Truck Driver Up to 1.5 Tons
Truck Driver Over 1.5 Tons
Grader Operations
Concrete Work
Plumbing
Farm Tractor
Trencher
Bulldozer
Asphalt Work
Landscaping
List any other skills you have, including professional or technical licenses
State why you believe you are qualified to perform the kind of work for which you are applying
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Employment History
This portion of the application must include a minimum of ten years of work history and must be completed even if supplemented by a resume. List your most recent employer including U.S.Military service and unpaid or volunteer work. Base salary does not include overtime, bonuses or commissions.
From (mo/yr)
*
To (mo/yr)
*
Total years
*
Total months
*
Your position
*
Employer
*
Your supervisor
*
Address
*
Phone
*
Type of business
*
Reason for leaving
*
Starting salary
Final salary
Rate
Monthly
Weekly
Hourly
Other compensation, bonuses
Brief description of your duties and responsibilities
*
From (mo/yr)
To (mo/yr)
Total years
Total months
Your position
Employer
Your supervisor
Address
Phone
Type of business
Reason for leaving
Starting salary
Final salary
Rate
Monthly
Weekly
Hourly
Other compensation, bonuses
Brief description of your duties and responsibilities
From (mo/yr)
To (mo/yr)
Total years
Total months
Your position
Employer
Your supervisor
Address
Phone
Type of business
Reason for leaving
Starting salary
Final salary
Rate
Monthly
Weekly
Hourly
Other compensation, bonuses
Brief description of your duties and responsibilities
From (mo/yr)
To (mo/yr)
Total years
Total months
Your position
Employer
Your supervisor
Address
Phone
Type of business
Reason for leaving
Starting salary
Final salary
Rate
Monthly
Weekly
Hourly
Other compensation, bonuses
Brief description of your duties and responsibilities
From (mo/yr)
To (mo/yr)
Total years
Total months
Your position
Employer
Your supervisor
Address
Phone
Type of business
Reason for leaving
Starting salary
Final salary
Rate
Monthly
Weekly
Hourly
Other compensation, bonuses
Brief description of your duties and responsibilities
Explanation of Interruptions in Employment History
Please use this space to explain employment history interruptions since high school that do not pertain to pregnancy, child care, disability, or any other protected activity.
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References and Contacts
Reference Name
Address
City
State
Zip Code
Daytime Phone
Relationship
Reference Name
Address
City
State
Zip Code
Daytime Phone
Relationship
Reference Name
Address
City
State
Zip Code
Daytime Phone
Relationship
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Resume and Cover Letter Submissions
Resume/CV
*
Cover Letter
*
Other Document
Other Document
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Equal Employment Opportunity Questionnaire
The City of Spring Hill would appreciate your assistance in completing this brief questionnaire. The answers will be used solely for the purpose of evaluating and reporting the effectiveness of our recruiting and equal employment opportunity efforts. This form will be held separately from your application/resume and will not be used as a basis for any decisions regarding your employment.
Completion of this form is optional
Name
Date of Birth
Position Applied For
Type of Position
Full-Time
Part-Time
Seasonal
Gender
Male
Female
Non-binary
Race (check one)
Black
Hispanic
White
Asian / Pacific Islander
American Indian / Alaskan Native
Disability
None
Visual
Hearing
Physical
Learning
Other
Are you a veteran of the U.S. Armed Forces?
Yes
No
Leave This Blank:
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