Employment Application

The city is an equal opportunity employer. It is the city’s policy to afford equal employment opportunity to all qualified persons regardless of race, color, religion, age, sex, sexual orientation, gender identity, pregnancy, childbirth, pregnancy/child birth related medical conditions, genetic makeup, national origin, disability, veteran or family status, an individual’s status as a smoker or nonsmoker, genetic makeup or any other status or condition protected by applicable local, state or federal laws, except where a bona fide occupational qualification applies.

Personal Information

Incomplete information could disqualify you from further consideration. Please complete all fields

Address
Are you legally eligible to work in the United States? (Proof of identity and eligibility will be required upon employment)
Can you work any shift?
Availability to work (check all that apply)
Can you work overtime?
Are you willing to travel if the job requires it?
Are you able to perform the essential functions of the job for which you are applying?
If any questions as to what functions are applicable to the position for which you are applying, please see the job description

Employment Desired

Are you currently employed?
If so, may we contact your present employer?

Referral Source

Have you ever worked for this company before?
Do you know anyone who works for the City of Pikeville?

Education

Have you completed any special courses, seminars, and/or training directly related to the position for which you are applying?

Employment History

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

Employers
Have you ever been terminated or asked to resign by an employer?

References

Please give the names of three persons not related to you or former employers, whom you have known at least three (3) years.

 

Please Read Carefully Before Signing.

The city is an equal opportunity employer. It is the city’s policy to afford equal employment opportunity to all qualified persons regardless of race, color, religion, age, sex, sexual orientation, gender identity, pregnancy, childbirth, pregnancy/child birth related medical conditions, genetic makeup, national origin, disability, veteran or family status, an individual’s status as a smoker or nonsmoker, genetic makeup or any other status or condition protected by applicable local, state or federal laws, except where a bona fide occupational qualification applies.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for City of Pikeville to hire me. If I am hired, I understand that either the City of Pikeville or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of City of Pikeville has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to City of Pikeville true and complete information on this application. No requested information has been concealed. I authorize the City of Pikeville to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

To expedite the employment process do you agree to a background check for the pre-employment process?*

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE

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