Employee Application for Internal Candidates

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Title, Will you work overtime whenever scheduled or requested? Yes No Can you work weekends whenever scheduled or requested? Yes No Can you work different shifts? Yes No Are you willing to take a complete physical examination & drug screen at the City’s expense if you are selected for a position? Yes No Education and Training High School Name of School:Address: Dates of Attendance:Graduate? GED? Yes – Date: No Yes No Undergraduate College Name of School:Address: Dates of Attendance:Graduate? GPA: Yes – Date: No Degree: Major/Areas of Study: Graduate School Name of School:Address: Dates of Attendance:Graduate? GPA: Yes – Date: No Degree: Major/Areas of Study: ? Vocational/Technical School Name of School:Address: Dates of Attendance:Graduate? GPA: Yes – Date: No Degree/Certification: Areas of Study: Certification The answers to the foregoing questions are true and correct to the best of my knowledge. I hereby give Company Name Address Dates Time Worked Pay Rate Supervisor’s authorization to the City of Paris to contact my past employers, and I do hereby authorize and consent to all such Company Name Address Dates Time Worked Pay Rate Supervisor’s Title, (Street, City, St.) Name, & Phone # past employers releasing any and all information concerning my employment with them including but not limited (Street, City, St.) Name, & Phone # 2.From Years Starting to my job performance and personal habits and demeanor. A false or misleading response in this application may 1.From Years Starting result in disqualification from city employment or termination. I understand and am in agreement that prior to a To Months Final job offer being made, the City may conduct a criminal background check and credit history check if needed. To Months Final Reason For Leaving Briefly Explain Your Duties Reason For Leaving Briefly Explain Your Duties Signature of Applicant Date City of Paris Internal Employment Application Revised 8/20/08