Wastewater Operator

_{We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.}

Applicant Information

Full Name:

(First, Middle initial, and Last name)

Email Address:

Phone Number(s):

Mailing Address:

Include full address, unit number, city, state, and zip code.

How did you learn about this position?

Relative

Friend

Inquiry

Employment Agency

Other

None of the above

Other…

If you are under the age of 18, can you provide required proof of eligibility to work?

Yes

Are you currently employed?

Yes

Have you ever been convicted of a felony, causing harm to another person?

Yes

You must report all convictions, past and present. If it is determined they are not job related; they will not disqualify you. For more than one conviction, use blank sheets and attach to this application.

If yes, what was your offense?

Please include the following information: Date of conviction, length of sentence, time served, probation or parole dates, length of sentence, length served.

If your probation/parole is/was supervised, list probation officer’s name and telephone number:

Are you prevented from lawfully becoming employed in the country because of Visa or Immigration status?

Proof of citizenship or immigration status will be required upon employment.

Yes

Desired Position

Date you are available to start work:

Can you travel if the job duties require it?

Yes

Please add an additional details we should know about your working availability:

Employment Experience:

Start with your present or last place of employment.. Include any job-related military service assignments and volunteer activities. Exclude those activities which indicate race, color, religion, sex, national origin, age, ancestry, marital status, unfavorable discharge from the military, physical or mental disability unrelated to job requirements or any other legally protected status. Use a separate sheet of paper if you need additional space.

Employer:

Name

Company

Job Title

Phone

Address

Supervisor:

Hourly Rate Starting:

Hourly Rate Final:

Reason for leaving:

May we contact this organization?

Employer:

Name

Company

Job Title

Phone

Address

Supervisor:

Hourly Rate Starting:

Hourly Rate Final:

Reason for leaving:

May we contact this organization?

Employer:

Name

Company

Job Title

Phone

Address

Supervisor:

Hourly Rate Starting:

Hourly Rate Final:

Reason for leaving:

May we contact this organization?

Education:

High School:

Name:

Phone

Address

Years Completed:

Graduated?

College/University:

Name

Phone

Address

Years Completed:

Graduated?

Diploma/Degree:

Post-Graduate/Other

Name

Phone

Address

Years Completed:

Graduated?

Diploma/Degree:

References:

Reference Information:

Name

Company

Phone

Address

Reference Information:

Name

Company

Phone

Address

Reference Information:

Name

Company

Phone

Address

Additional Information:

Complete the following section excluding those activities which indicate race, color, religion, sex, national origin, age, ancestry, marital status, unfavorable discharge from the military, physical or mental disability unrelated to job requirements or any other legally protected status.

Describe any specialized training or skills you have acquired which may be helpful to us in considering your application:

Summarize special job-related skills or qualifications acquired or other experience.

Do you have any certificates that would make you uniquely qualified for this position?

(Examples: CPR, First Aid, WSI, NCTRC, etc.)

List professional, trade, business, or civic activities and offices held.

You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status:

Please Read:

_{Each of the following items becomes part of your applications record by your signature. Be sure to understand these notes and conditions before signing.}

I voluntarily give the City of Sparta the right to make a thorough investigation of my past employment, agree to cooperate in such investigation, and authorize all prior employers to supply such information to the full extent allowed by law.
If offered employment I understand that I will be required to follow the personnel policies, department rules and directives.
I understand that false or misleading information given in my application or interview(s) may result in disqualification or, in the event of employment, dismissal. I attest that the information provided in this application is true and correct to the best of my knowledge.

I CERTIFY that all statements made on this application are true and correct. I understand that all information is subject to verification. I also understand that any falsification will disqualify me from employment or, if already employed, will result in dismissal. It also authorizes collection of any employment related information deemed necessary from former employers or personal references. 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 employees at any time with or without a 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.

Signature of Applicant:

Full Name:

Date of Application:

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Wastewater Operator

^{Send resume and/or application to one of the following}^:

_{We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.}

Employment Experience:

Education:

References:

Additional Information:

Please Read:

_{Each of the following items becomes part of your applications record by your signature. Be sure to understand these notes and conditions before signing.}

^P:^{(608) 269-4340}

_{City Shop:}

Wastewater Operator

Send resume and/or application to one of the following:

Supporting Documents

Please Read:

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Employment Experience:

Education:

References:

Additional Information:

Please Read:

Each of the following items becomes part of your applications record by your signature. Be sure to understand these notes and conditions before signing.

^{Send resume and/or application to one of the following}^:

_{We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.}

_{Each of the following items becomes part of your applications record by your signature. Be sure to understand these notes and conditions before signing.}