Employment Application

We offer equal employment opportunities to all persons without regard to race, religion, age, marital or veteran status, sex, national origin, disability, or and other legally protected statuses.

This form will allow the City of Paris to see your interest in our department, but a full application will need to be completed as well. Applications are accepted all year and will be used for consideration for hire as position become available.

Thank you for you interest in Our Department.

Name*
First Middle Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Social Security Number*
Position(s) applied for:*
Type of employment desired:*
- Full Time
- Part Time
- Temporary/Seasonal
Date available for work:*
Do you have any family members working for the city?*
If so, please list:
Are you over the age of 18?*
If not over the age of 18, what is your age:
Have you ever filed an application with us before?*
If yes, give the date:
Have you been employed by the City of Paris before?*
If yes, give the date:
Are you currently employed?*
May we contact your current employer?*
Are you currently on “layoff” status or subject to a recall?*
Can you travel if the job requires it?*
Are you legally able to work in the United States?*
Proof of citizenship or immigration status will be required upon employment.
Have you been charged or convicted of a felony?*
If yes, please explain:
Charges or Conviction will not necessarily disqualify an applicant from employment?
Education
Highest level of education completed:*
List the names of all schools attended, State located and years completed for each:*
Describe course of study and diploma/degrees received:*
Describe any specialized training, apprenticeship, skills, and extracurricular activities:
Describe any honors you have received:
State any information you feel may be helpful to us in considering your application:*
List professional, trade, business, or civic activities and any offices help:
You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, disability or other
References
Give name, address, and phone number of three references who are not related to you and are not previous employers.
1. 2. 3.
Have you ever had and job related training in the United Stated Military?*
If yes, please describe:
Do you have a valid Driver’s License?*
If yes, complete the following:
State Issued: License Number: Exp. Date:
Type of License:*
Employment Experience

Start with your present or last employer. Include military service assignments and volunteer activities. You may exclude volunteer activities which would reveal sex, race, religion, national origin, age, ancestry, disability, or other protected status.
1) Present/Most Recent Employer*
Employer Name: Start Date: End Date: Telephone: Address: Job Title: Supervisor: Hourly/Salary Start Rate: Hourly/Salary End or Current Rate: Reason for leaving:
2) Employer
Employer Name: Start Date: End Date: Telephone: Address: Job Title: Supervisor: Hourly/Salary Start Rate: Hourly/Salary End or Current Rate: Reason for leaving:
3) Employer
Employer Name: Start Date: End Date: Telephone: Address: Job Title: Supervisor: Hourly/Salary Start Rate: Hourly/Salary End or Current Rate: Reason for leaving:
4) Employer
Employer Name: Start Date: End Date: Telephone: Address: Job Title: Supervisor: Hourly/Salary Start Rate: Hourly/Salary End or Current Rate: Reason for leaving:
Agreement

I certify that answers given herein are true and complete to the best of my knowledge. You are hereby authorized to perform any investigation of my personal history and financial and credit record through an investigative or credit agency or bureaus of your choice. I understand that I have the right to make a written request within a reasonable period of time to receive detailed information about the nature and scope of any investigative report that is made. I understand that I am making an application only for the current vacancy and that I must reapply for any subsequent vacancies. If I were to be offered employment or in my being considered for employment by the City of Paris, I agree to conform to the rules and regulations of the City of Paris at any time. I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the City of Paris and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand no such promise or guarantee is binding upon the City of Paris unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the City of Paris retains the same right. Should I be offered employment I understand that I will be required to submit to a physical examination which may include a drug screen and that me employment will be conditional upon the results of said examination and drug screen. In the event of employment I understand that false or misleading information given in, my application or interview(s) may result in discharge.

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Employment Application

Education

References

Employment Experience

Agreement

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Contact Info

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