Lindon City Job Application form

Application for Employment
Position Applying For
Full Name

First NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Available start date:

MonthDayYear
Do you have a valid driver's license?
Are you authorized to work and remain in the United States?
Were you ever discharged or forced to resign from any position?
If Yes, Explain:
Have you ever been employed by Lindon City?
Position:
Department:
Are you related to any employee of Lindon City?
Name of Employee:
Relationship:
Department:
Have you served in the U.S. Armed Forces?
If Yes, Branch:
Date Entered Active Duty:

MonthDayYear
Date Released Active Duty:

MonthDayYear
If Yes, Explain:
Education:
Are you a High School Graduate or Received High School Equivalency?
Are you presently attending school?
Type of Education
Name of Institution
Field of Study
Type of Degree
Did you Graduate?
Do you have additional education to enter?
Additional Type of Education
Name of Institution
Field of Study
Type of Degree
Did you Graduate?
Professional License or Certificate, If Required
Type
Serial Number
Date Issued
Expiration Date

MonthDayYear
Skills
Typing Words Per Minute:
10 Key Speed:
Word Processing:
List Computer Background and Years of Experience:
Equipment Operated:
Employment History

Begin with your present or most recent work experience. A supplemental sheet or resume may be attached, but cannot be substituted for a completed application. Include military service if applicable.
Name of Employer:
Job Title:
Phone Number

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor:
Ending Salary Per Month:
Date Employment Started
Date Employment Ended
Reason for Leaving:
Description of Duties:
Do you have additional employers to enter?
Name of Employer:
Job Title:
Phone Number

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor:
Ending Salary Per Month:
Date Employment Started
Date Employment Ended
Reason for Leaving:
Description of Duties:
Inquiry may be made of your current and former employers/schools you attended.
May we contact your present employer?
May we contact your former employers?
Personal References
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business or Occupation
Phone Number

Area CodePhone Number
APPLICANT’S STATEMENT

(Required for ALL Positions)

I understand that this employment application and any other city documents are not contracts of employment, and any person hired may be terminated by the employer at any time for any reason. I understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by a prospective or existing employee. I understand that Lindon City may modify, change, or revoke any of its employment policies, pay practices, and benefits without my agreement. I hereby state that all answers on this application are true and understand that falsifying this information can lead to termination if hired.

I UNDERSTAND THAT IN ACCORDANCE WITH CITY POLICY, FINAL CANDIDATES ARE SUBJECT TO AN ALCOHOL / DRUG TEST AS A CONDITION OF EMPLOYMENT.

Writing in your name below constitutes acceptance of the above policy.
Full Name
Date

MonthDayYear
Do you have any physical or mental disabilities which may limit your ability to perform essential functions of this job or which would require any special accommodations?
If Yes, Please explain:
Upload Resume'

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Should be Empty:

Application for Employment

Education:

Professional License or Certificate, If Required

Skills

Employment History

Personal References