Employment Application

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. Please use this form to apply for employment in any of the City's departments, including the Clare Fire Department.

Personal Information

Name(Required)

First Middle Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Position(s) Applying For:(Required)

Date of Application(Required)

How did you learn about us?(Required)

General Information

The best time to contact you at home is:(Required)

If you are under 18 years of age, can you provide required proof of your eligibility to work?(Required)

Yes

Have you ever applied with us before?(Required)

Yes

If yes, when?(Required)

Have you ever been employed with us before?(Required)

Yes

If yes, when?(Required)

Do any of your friends or relatives, other than spouse, work with the City?(Required)

Yes

Are you currently employed?(Required)

Yes

May we contact your present employer?(Required)

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment.(Required)

Yes

Date you are available for work:(Required)

What is your desired salary range?(Required)

Are you available to work:(Required)

Full-Time, 1st Shift

Full-Time, 2nd Shift

Full-Time, 3rd Shift

Part-Time, Mornings

Part-Time, Afternoons

Part-Time, Evenings

Temporarily, available

If temporarily available, when?(Required)

Are you currently on "lay-off" status and subject to recall?(Required)

Yes

Can you travel if a job requires it?(Required)

Yes

Education

Elementary School Name & Address(Required)

Course of Study(Required)

Number of Years Completed(Required)

Did you receive a diploma?(Required)

Yes

High School Name & Address(Required)

Course of Study(Required)

Number of Years Completed(Required)

Did you receive a diploma?(Required)

Yes

Undergraduate College(Required)

Course of Study(Required)

Number of Years Completed(Required)

Did you receive a diploma?(Required)

Yes

Graduate/Professional School(Required)

Course of Study(Required)

Number of Years Completed(Required)

Did you receive a diploma?(Required)

Yes

Other (Specify)(Required)

Please describe any specialized training, apprenticeship, skills and extra-curricular activities.(Required)

Please describe any job-related training received in the United States Military.(Required)

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, disabilities, or other protected status.

Employer(Required)

Address(Required)

Phone(Required)

Job Title(Required)

Supervisor(Required)

Reason for Leaving(Required)

Start Date(Required)

End Date(Required)

Starting Hourly Rate/Salary(Required)

Final Hourly Rate/Salary(Required)

Job Responsibilities(Required)

Employer(Required)

Address(Required)

Phone(Required)

Job Title(Required)

Supervisor(Required)

Reason for Leaving(Required)

Start Date(Required)

End Date(Required)

Starting Hourly Rate/Salary(Required)

Final Hourly Rate/Salary(Required)

Job Responsibilities(Required)

Address(Required)

Employer(Required)

Phone(Required)

Job Title(Required)

Supervisor(Required)

Reason for Leaving(Required)

Start Date(Required)

End Date(Required)

Starting Hourly Rate/Salary(Required)

Final Hourly Rate/Salary(Required)

Job Responsibilities(Required)

Employer(Required)

Address(Required)

Phone(Required)

Job Title(Required)

Supervisor(Required)

Reason for Leaving(Required)

Start Date(Required)

End Date(Required)

Starting Hourly Rate/Salary(Required)

Final Hourly Rate/Salary(Required)

Job Responsibilities(Required)

Employer(Required)

Address(Required)

Phone(Required)

Job Title(Required)

Supervisor(Required)

Reason for Leaving(Required)

Start Date(Required)

End Date(Required)

Starting Hourly Rate/Salary(Required)

Final Hourly Rate/Salary(Required)

Job Responsibilities(Required)

Please list professional, trade, business or civic activities and offices held. You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.(Required)

Additional Information

Please summarize special job-related skills and qualifications acquired from employment or other experience.(Required)

Please check skills/equipment familiar with.(Required)

Terminal

Spreadsheet

PC/MAC

Word Processing

Typewriter WPM:(Required)

Shorthand WPM:(Required)

Please state any additional information you feel may be helpful to us in considering your application.(Required)

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, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.(Required)

Yes

References

Name(Required)

Phone(Required)

Address(Required)

Name(Required)

Phone(Required)

Address(Required)

Name(Required)

Phone(Required)

Address(Required)

Applicant's Statement

Please Read Carefully: By clicking the submit button below, you are "electronically signing and dating" your application. You agree to the following:

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discarge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Name(Required)

Date(Required)

CAPTCHA

Application Submitted

Your application has been submitted. It will be reviewed and you will be contacted.

city employment

Personal Information

General Information

Education

Employment Experience

Additional Information

References

Applicant's Statement

Application Submitted

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