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If hired, you will be required to provide documentation that you are eligible to work in the United Stated.
Check all those that apply
A background check will be made on all potential candidates.
If none, enter "none"
Experience and ratings are determined by this information - please be complete. List complete employment history, beginning with the most recent first. Include paid and unpaid experience. DO NOT USE "SEE RESUME" or SIMILAR. Attach additional sheets if needed.
You may provide a resume however it is not required. Please be mindful that a resume submitted here does not forgo the necessity to fill in the above required information. A resume alone will not be accepted.
Please check all boxes indicating that you have received, read and filled out these additional forms in this application.
To the best of my knowledge, the information included in the application is accurate and true. I understand that misrepresentation or omission of facts in conjunction with my application may be sufficient cause for dismissal whenever discovered. Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
The City of St. James is an equal opportunity employer. It is the policy of the City of St. James to provide equality in employment to all persons. This policy expressly prohibits discrimination because of race, creed, color, religion, national origin, sex, sexual orientation, marital status, status with regard to public assistance, disability, membership or activity in a local human rights commission, age, or any other basis protected by law, except where there is a bona fide occupational qualification. This policy applies to all phases of employment including, but not limited to: recruitment, hinging, placement, promotion, demotion, transfer, layoff, recall, discharge, rates of pay or other forms of compensation, and selection of training. This policy also applies to the use of all facilities and participation in all city-sponsored employee activities.The information asked of you below will be used to evaluate our overall efforts in achieving diversity in the recruitment and selection of City of St. James employees. The following information is VOLUNTARY and CONFIDENTIAL. This information is NOT A PART of the application file and is REMOVED from the application when received by this office. The City of St. James appreciates your cooperation in our efforts to ensure affirmative action and equal opportunity.
Disability status is defined as: 1, has a physical, sensory or mental impairment which materially limits one or more life activities. 2, has a record of such an impairment; or 3, is regarded as having such an impairment.
I authorize the City of St. James and its representatives to make an investigation of any information contained in this application and/or supplemental materials I have submitted in consideration for the position of:
I authorize my past and present employers and educational institutions to release information concerning my employment and educational background to the City of St. James. The information obtained will be used by the City of St. James to evaluate my qualifications for employment and may be disclosed to elected and appointed officials and employees of the City of St. James whose work assignments reasonably require access during the hiring process: enforcement agencies with legal authority; and persons/entities authorized by law or court order.To the fullest extent permitted by law, I release my present or former employers and educational institutions from responsibility for any harm or damages that I may experience as a result of their good faith compliance with this authorization.I understand that I am not legally required to sign this authorization, but if I do not do so, the City of St. James may be unable to adequately evaluate my qualifications for employment.
This authorization is valid for one year from the date below or until the purpose has been fulfilled, whichever occurs first. This authorization maybe withdrawn by notifying the City in writing, but such withdrawal does not affect the validity of disclosures made prior to the withdrawal notice. A photocopy of this release is valid for all purposes as an original.
Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Preference points are awarded to qualified veterans and spouses of deceased or disabled veterans to add to their training and experience examination results. Points are awarded subject to the provisions of Minnesota Statutes, section 197.455. To be eligible for veteran’s preference points, you must be either be (1) separated under honorable conditions from any branch of the armed forces of the United States after having served on active duty for 181 consecutive days or by reason of disability incurred while serving on active duty, and be a citizen of the United States or resident alien; or (2) the surviving spouse of a deceased veteran (as defined above) or the spouse of a disabled veteran who because of the disability is not able to qualify.Instructions: The information you provide on this form will be used to determine your eligibility for veteran’s preference points. You are not required to supply this information, but we cannot award veterans points without it.You must supply a copy of your DD214. Disabled veterans must also supply Form FL-802 or an equivalent letter from a service retirement board. Spouses applying for preference points must supply their marriage certificate, the Veteran’s DD214 and FL-802 or death certificate. If you do not include these documents with this application, be sure to include your name, the name of the position for which you are applying, when you do submit the documents.
All documents must be received no later that 7 calendar days after the application deadline for the position for which you are applying.
I understand that nothing contained in this application or in the granting of an interview, and no City policies, procedures, or handbooks that I might receive if I am hired, are intended to create an employment contract between the City and me for employment or for providing any benefit. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon the City unless made in writing and signed and authorized by officials or employees of the City with authority to bind the City. If an employment relationship is established, I understand that, unless otherwise provided in some other binding document, it is “at-will,” which means that I have the right to terminate my employment at any time for any reason or no reason, with or without cause, and with or without prior notice, and that the City retains the same rights.I also understand that if I am hired, I will be required to present documents to the City establishing my identity and authorization to work in the United States.I certify that all information I have provided in this application for employment is true and complete to the best of my knowledge. I agree and understand that any misrepresentations, false statements, or omission of information contained in this application or any supplemental materials I submit may disqualify me from further consideration for employment or result in immediate termination from employment if discovered at a later date.
You may be requested as part of this investigation to provide information that may be considered private or confidential under the Minnesota Governmental Data Practices Act. Because you may be asked to provide private or confidential information, the Minnesota Data Practices Act requires that the City of St. James (City) provide you with the following information in regard to its request that you provide this information to the City.The City is informing you of the purpose and intended use of the information requested. The City is requesting information from you as part of its investigation of a complaint and/or allegations of inappropriate conduct by a City employee. The City may use the information you provide during the course of the investigation and in determining appropriate disciplinary or other actions by the City in regard to the complaint/allegations, including civil or criminal action. If the private or
Confidential information you provide supports that you have engaged in inappropriate conduct, the City may use the information to support civil or criminal action.
•You are not legally required to supply the requested information and may refuse to supply the requested private and/or confidential information.
•In addition to the person(s) who are present at the interview, the information you provide may be shared with other City employees and administrators who are involved in this investigation, or whose job responsibilities provide them with a legitimate reason for access to the information you provide.
Minnesota Statutes, Section 13.04 requires that you be informed of this information about private data requested on this application. The data obtained may be disclosed to elected and appointed officials and employees of the City whose work assignments reasonably require access during the hiring process; enforcement agencies with legal authority; and persons/entities authorized by law or court order.
This field is not part of the form submission.
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