Laserfiche WebLink
��v ofMounds. View Return to: q-22 -95- <br /> Personnel Office <br /> 1011 %l- 2401 Highway 10 <br /> Mounds View, MN- 55112 <br /> (612)784-3055 <br /> t S• <br /> ore's • Partne(s\�e <br /> Application for Employment <br /> An Equal Opportunity/Affirmative Action Employer <br /> Mounds View welcomes you as an applicant for employment with the City of Mounds View. Your application will be considered with <br /> others in competition for the position in which you applied for. It is the policy and intent of the City of Mounds View to provide Equal <br /> Opportunity Employment to all persons. This policy prohibits discrimination because of race, color, sex,national origin,political <br /> affiliation,place of residence,martial status,sexual preference,status with regard to public assistance, or disability,and is consistent <br /> with the City's policy of hiring a well-qualified person so as to maintain the high standards of public service required of all City <br /> employees. This policy applies to all phases of regular full or part-time employment. All information contained in or connected with <br /> this application will be considered personal and confidential and will be used only in conjunction with your possible employment by <br /> the City of Mound View. Please furnish us with complete information as outlined in this application. You are encouraged to attach <br /> any additional information or materials which you believe will qualify you for the position in which you are applying. <br /> PLEASE PRINT IN INK OR USE TYPEWRITER. <br /> POSITION APPLYING FOR: CLICr (-i-15,C_,Z. <br /> DEPARTMENT: �c L,c ;:-- <br /> DATE <br /> DATE OF APPLICATION: ci-2(2 -`i`5: DATE AVAILABLE:L.:;r N A - C 5 :1 EZ <br /> KIND OF WORK APPLIED FOR: (—FILL TIME) PART TIME <br /> soPLEASE CIRCLE ONE TEMPORARY SEASONAL <br /> PERSONAL INFORMATION • <br /> Last Name First Name Middle Social Security Number <br /> l/ /i -)L D14 i',".1.-L ccei.1E,L' 4 7_3- S-2 - C(c3) <br /> Present Permanent Address Day Phone Evening Phone <br /> City County State Zip Code <br /> J ' <br /> Are you a United States Citizen OR if not, do you have permission to work in this Country? <br /> (VERIFICATION WILL BE REQUIRED)(PLEASE CIRCLE) YES, NO <br /> IF POSITION INVOLVES DRIVING, PLEASE INDICATE DRIVER'S LICENSE NUMBER. <br /> ( - C .1 i." .!_---, - -1 i 7- j.5-1 State (11 ,c Class C. <br /> TO B40E COMPLETED BYAPPLICANTS FOR MAINTENANCE WORKER POSITIONS ONLY <br /> you have a CDL Driver's License No Yes /i} State Exp. Date <br /> E COMPLETED IF APPLYING FOR PART TIME RECREATION/SEASONAL POSITIONS ONLY <br /> List days and hours of week available to work: iqft <br />