Employment Opportunities - Fountain City, Wisconsin

Position Applying for:*

Personal Information

Name*

First Last

Address*

Street Address City State ZIP Code

Phone Number*

Alternate Phone Number

General Information

Are you at least 18 yrs. of age?*

Yes
No

Are you authorized to work lawfully in the United States?*

Yes
No

Do you have a valid drivers license?*

Yes
No

Have you ever been previously employed by the City?*

Yes
No

Work Desired (check all that apply):*

Full Time
Part Time
Temporary
Summer

Are you available for overtime and/or weekend work if required?*

Yes
No

Desired Salary ($)

Education & Relevant Experience

Please list any educational information here:

School, location, degree earned, etc.

Other training or education you may have acquired to qualify you for the job:

Employment Experience

Please list current and past employment below:

Include complete name and address of employer. Military assignments and volunteer activities can also be included.

Authorization & Resume Upload

Please read before signing.*

I certify that the foregoing answers are true and I authorize the companies and persons shown to give City of Fountain City any information they may have regarding me. I authorize investigation of my past employment, and release those persons, organizations, or companies supplying information from all liability and responsibility for any damages I may suffer as a result of this information. I understand that I must satisfactorily complete a physical examination and/or drug screen, if required for my position as a condition of employment. If employed, I agree to abide by all company regulations and policies. I also understand that any misrepresentation or false statement on this application will be cause for immediate dismissal.

I have read the above agreement

Date

Please attach a resume and resume cover letter

Accepted file types: jpg, pdf, word, png, Max. file size: 50 MB.

City of Fountain City – Application for Employment

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