| (* Required field) |
| PERSONAL INFORMATION |
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| Position Applying For: |
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| Full Name: |
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| Mailing Address: |
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| Email Address: |
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| Day Phone: |
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| Evening Phone: |
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Are you over 18? |
Yes
No *
If No, can you submit a work permit if hired?
Police Officer applicants only:
What is your Date of Birth:
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( MM / DD / YYYY )
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| Driver's License Number: |
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Are you a U.S. citizen
or do you have the right to work permanently in the U.S.?
Yes
No *
(if hired, you will be required to submit verification of your legal right to work in the U.S.)
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| Languages you speak fluently
other than English:
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| Were you referred to this job
opening by a current City of Morgan Hill employee?
Yes
No
(if yes, state whom):
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| Please answer
the following questions. "Yes" answers are not necessarily disqualifying.
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Have you ever been convicted of any offense other than a driving violation or convictions that are over two years old as of the date of this application for violations of H&S Codes 11357,11360,11364,11365,or 11550 as these statutes relate to marijuana? You are not required to make disclosures prohibited by the Labor Code. If yes, list offense and date here.
Yes
No |
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Have you ever been convicted of reckless driving or driving under the influence of alcohol/drugs OR has your drivers license ever been suspended or revoked? If yes, list offense and conviction date.
Yes
No |
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Were you ever discharged from employment or forced to resign? If yes, explain.
Yes
No |
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Are you now or have you ever been employed by the City of Morgan Hill? Do you have a relative who is an official or employee of the City of Morgan Hill? If yes, explain.
Yes
No |
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| EDUCATION |
| High School: |
* Did you graduate?
Yes
No
GED *
If you did not graduate, indicate the highest grade achieved:
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| Location: |
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| College/University: |
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| Location: |
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| Date Graduated: |
(MM / DD / YYYY)
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| Degree Received: |
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| Major Subjects: |
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| College/University(2): |
(If applicable)
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| Location: |
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| Date Graduated: |
(MM / DD / YYYY)
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| Degree Received: |
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| Major Subjects: |
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| College/University(3): |
(If applicable)
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| Location: |
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| Date Graduated: |
(MM / DD / YYYY)
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| Degree Received: |
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| Major Subjects: |
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| Business/Trade/Technical School (If applicable) |
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| JOB RELATED
TRAINING |
| Describe any job-related skills,
knowledge, special training, certificates or licenses you possess. |
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| Computer Literacy: List software that you are proficient in using:
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| WORK EXPERIENCE |
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Do not indicate SEE RESUME - this section must be completed.
Starting with your most recent experience, list all jobs for the last 10 years and explain any time periods in which you were unemployed. If you have relevant experience and it is more than 10 years old, be sure to document it also. List each change in title or promotion separately. List all paid, volunteer, part-time and internship experience: it will be prorated to a full time equivalent.
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| Employer: |
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| Type of Business: |
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| Address: |
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| Title of Your Present Position: |
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| From: |
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( MM / YYYY ) |
| To: |
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( MM / YYYY ) |
| Hours per week: |
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| Final Salary: |
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| Number You Supervised: |
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| Supervisor Info: |
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| Duties: |
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| Reason for Leaving: |
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| Employer: |
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| Type of Business: |
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| Address: |
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| Title of Position: |
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| From: |
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( MM / YYYY ) |
| To: |
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( MM / YYYY ) |
| Hours per week: |
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| Final Salary: |
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| Number You Supervised: |
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| Supervisor Info. |
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| Duties: |
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| Reason for Leaving: |
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| Employer: |
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| Type of Business: |
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| Address: |
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| Title of Position: |
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| From: |
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( MM / YYYY ) |
| To: |
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( MM / YYYY ) |
| Hours per week: |
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| Final Salary: |
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| Number You Supervised: |
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| Supervisor Info: |
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| Duties: |
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| Reason for Leaving: |
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| Employer: |
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| Type of Business: |
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| Address: |
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| Title of Position: |
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| From: |
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( MM / YYYY ) |
| To: |
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( MM / YYYY ) |
| Hours per week: |
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| Final Salary: |
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| Number You Supervised: |
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| Supervisor Info: |
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| Duties: |
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| Reason for Leaving: |
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If the job posting for which you are applying requires you to provide us with
your resume, a cover letter indicating your interest in employment, and/or any
required certificates, you can do that electronically. When you submit your
application below, you will receive an e-mail asking you to provide us with these
documents. Simply reply to that e-mail with the required documents attached to
it. Thank you.
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| CERTIFICATION OF APPLICANT:
I certify that the information contained in this application for employment
is true and complete to the best of my knowledge. I understand that any
misrepresentation or deliberate omission of a material fact in my application
may disqualify me from the application process or terminate my employment.
I agree to undergo a physical examination by a City physician, including
drug testing, if offered employment. I further agree to furnish proof
of age, education, and legal right to work in this country if required
as a condition of employment. I authorize the employers, schools or persons
named in my application documents to give any additional information regarding
my qualifications and character, and release them from any liability for
any damages whatsoever for issuing this information to the extent permitted
by law. |
| Your name: |
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| Current Date: |
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VOLUNTARY SELF-IDENTIFICATION FORM:
Section 1233 of the California Government Code gives each applicant the opportunity to voluntarily indicate his/her ethnic identification with the submittal of an employment application. This form will be detached from the application prior to application review and kept in a separate file from the employment application.
This information requested is gathered and summarized for nondiscrimination statistical purposes only. It is unlawful to use this information to discriminate against or give preference to a person for hiring or promotion. Please do not sign this form.
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| Position Applying For: |
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Please check one:
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MALE
FEMALE
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Please check one:
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White
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All persons having origins in any of the original peoples of Europe, North Africa or the Middle East (not of Hispanic origin).
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African American
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All persons having origins in any of the Black racial groups of Africa (not of Hispanic origin).
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Hispanic
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All persons of Mexican, Puerto Rican, Cuban, Central or South America, or other Spanish culture of origin.
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Asian
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All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Pacific Islanders, Indian Subcontinent, or the Pacific Islands. This area includes, for example, China, Japan, Korea, the Philippine Islands and Samoa.
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Native American or Alaskan Native
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All persons having origins in any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition.
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I first learned of this job opening through:
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(if via an ad, which one? )
Comments:
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