City of Morrow Employment Application

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a Non-job-related medical condition or handicap, or any other legally protected status.

For what department are you applying?
Position(s) applied for
Referral Source
Advertisement  | Friend  | Relative  | Walk-in  | Agency  | Other  
Personal Information
Name
Email
Address
City
State
Zip Code
Phone

If employed and under 18, can you furnish a work permit?

Yes  | No  | N/A

Have you filed an application here before?

Yes  | No  | If yes, give date  

Do you have a relative, spouse, or household member working at the City of Morrow?

Yes  | No  | If yes, who?  

Have you been employed here before?

Yes  | No  | If yes, give date  

Are you employed currently?

Yes  | No

May we contact your present employer?

Yes  | No  | N/A

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)

Yes  | No

On what date would you be available for work?

Availability

Full Time  | Part Time  | Shift Work  | Temporary

Are you on layoff and subject to recall?

Yes  | No

Can you travel if a job requires it?

Yes  | No

Have you ever been convicted of a felony?
(required for police applicants only)

Yes  | No  | N/A  | If yes, please explain  
Employment History

Start with your present or last job. Include military service assignments and volunteer activities. You may exclude organization names which indicate race, color, religion, gender, national origin, handicap or other protected status.

Employer 1
Employer name
Phone
Address
Supervisor
Job title
Work performed
Reason for leaving
Employed from (date)
Employed to (date)
Hourly Rate/Salary (starting)
Hourly Rate/Salary (final)
Employer 2
Employer
Phone
Address
Supervisor
Job title
Work performed
Reason for leaving
Employed from (date)
Employed to (date)
Hourly Rate/Salary (starting)
Hourly Rate/Salary (final)
Employer 3
Employer
Phone
Address
Supervisor
Job title
Work performed
Reason for leaving
Employed from (date)
Employed to (date)
Hourly Rate/Salary (starting)
Hourly Rate/Salary (final)
Employer 4
Employer
Phone
Address
Supervisor
Job title
Work performed
Reason for leaving
Employed from (date)
Employed to (date)
Hourly Rate/Salary (starting)
Hourly Rate/Salary (final)

Employment special skills and qualifications

Summarize special skills and qualifications acquired from employment to help us better evaluate your application.
Education
Elementary school
School name
Years completed
High school
School name
Years completed
Diploma/degree
Course of Study
College/university
School name
Years completed
Diploma/degree
Course of Study
Graduate/professional
School name
Years completed
Diploma/degree
Course of Study

Education special skills and qualifications

Describe specialized training, apprenticeship, skills and extra-curricular activites from your education.
Military

Veteran of the U.S. Military Service?

Yes  | No  | If yes, what branch?  

Honorably discharged?

Yes  | No  | N/A
Served from (date)
Served until (date)
Languages
Language 1
Language
Speak
Read
Write
Language 2
Language
Speak
Read
Write
Language 3
Language
Speak
Read
Write
Other
List professional, trade, business or civic activities and offices held.
(you may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status)
References
Give name, address and phone number of three references who are NOT related to you, are NOT previous employers, and who do NOT work for the City of Morrow.
Reference 1
Name, address and phone number
Reference 2
Name, address and phone number
Reference 3
Name, address and phone number
Applicant's Statement

By submitting this application, I certify that answers given herein are true and complete to the best of my knowledge.

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 one year. 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.

The applicant understands that neither this document nor any offer of employment from the employer constitute an employment contract unless a specific document to that is executed by the employer and employee in writing.

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

an equal opportunity employer