Online Resume

 

Application for Employment
City of Clarinda
200 S. 15th St.
Clarinda, Iowa  51632

  

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

 

Position Applied For 
  
First Name                 
  
Middle Name            
     
Last Name                
       
Street Address          
     
City    State    Zip 
     
Social Security Number (no hyphens please)
     
Phone Number

If you are under 18 years of age, can you provide required proof of your eligibility to work?
     yes    no

Have you ever filed an application with us before?                               
     yes     no  
If yes, give date 
     

Have you ever been employed with us before?                                      
     yes       no
If yes, give date  
     

Are you currently employed?                                                                
     yes    no

May we contact your present employer?                                              
     yes    no

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?                                                                                              
     yes  no                 Proof of Citizenship or immigration status will be required upon employment.

On what date would you be available for work?
    

Are you available to work
     Full Time   Part Time   Shift Work   Temporary

Are you currently on "lay-off" status and subject to recall?            
     yes  no

Can you travel if a job requires it?                                                            
     yes  no

Have you been convicted of a felony within the last seven years?            
    yes  no                    Conviction will not necessarily disqualify an applicant from employment.
If yes, please explain   

Do you have relatives working for the City of Clarinda?                            
    yes  no
    Name  
    Relationship  

Do you have a high school diploma?  yes  no    GED  yes  no

Please list below all education beyond high school

School                                              
Major/Minor Area of Study                
Hours Completed Semester/Quarter  
Degree Obtained                              
School                                              
Major/Minor Area of Study                
Hours Completed Semester/Quarter 
Degree Obtained                              
School                                              
Major/Minor Area of Study               
Hours Completed Semester/Quarter 
Degree Obtained                              

Describe any specialized training, apprenticeship skills, extra-curricular activities, machinery operation skills that are job related

Vehicle Operator's License: 
Type Number State

Note to Applicants:  DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.  
  Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied?  A description of the activities involved in such a job or occupation is attached.
Yes  No

References other than relatives or past employers

1. Name  Phone #

    Address

2.Name   Phone #

    Address

3.Name   Phone #

    Address

4.Name   Phone #

    Address

Employment Experience

Start with your present or last job.  Include any job-related military service, assignments and volunteer activities.  You may exclude organizations which indicate race, color, religion, gender, national origin, disability, or other protected status.