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List all employment history and work experience in chronological order with most recent first. Failure to include all employment may be grounds for disqualification.
Exclude membership in professional
organizations and offices held the name or character of which indicates the race, color, religion, sex, national origin, handicap, age or ancestry of its members.
Please read each of the following paragraphs carefully. Indicate your understanding of, and consent to, the contents and conditions of each paragraph by placing your initials as indicated. If you have any questions regarding these paragraphs, contact the employer before initialling.
I understand, and accept that, if I am selected for employment, my employment may be conditioned upon my passing any medical examination that the employer deems necessary to determine whether I can physically perform the essential functions of the position, with reasonable accomodation when necessary. I understand and accept that this may include drug, alcohol or substance abuse testing.
I accept and understand that my future employment with the employer will be jeopardized if I engage in substance abuse, illegal drug use, or alcohol abuse.
I understand and accept that the employer requires a high degree of integrity and confidentiality of its employees. I also understand and accept that the various law enforcement and information agencies that exchange information and data with the employer require that the employer's employees do not have a past record of unlawful activities. Therefore, I understand and accept that, depending on the department in which I am applying for employment, it may be necessary for the employer to investigate my background for any criminal or unlawful activity.
If employed, I understand and accept that, depending on the department in which I am applying for employment, I may be required to work evening shifts or night shifts, including weekends, and be on call and work mandatory overtime hours.
If employed, I understand and accept, that if this position requires a valid driver's license, proof will be required.
I hereby authorize the employers, schools and personal references named in this application to provide information regarding me to the employer. I further authorize the release of personnel, academic and other records to the employer.
I understand and accept that if any information required in this application is found to be falsified or intentionally excluded, my application may be disqualified from further consideration. I further understand and accept that If I am employed by the employer, I may be subject to disciplinary action, including termination, if any information required by this application has been falsified or intentionally excluded.
This application will be considered active for 12 months from the date filled. If you are hired, it will become a part of your official employment record.
I solemnly swear that all of the information furnished in this employment application is true, accurate, and complete to the best of my knowledge. I authorize investigation of all my statements contained in this application. I understand that any misrepresentation or falsification of the information provided may lead to withdrawal of an employment offer or termination following employment. I agree that any claim or lawsuit relating to my service with the city must be filed no more than six (6) months after the date of the employment action that is the subjecct to the claim or lawsuit. I waive any statute of limitations to the contrary.
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