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City Employment:   Employment Opportunities   Application
City Employment Application
Personal Information
First Name Social Security Number - -
Middle Initial Day Telephone () - -
Last Name Night Telephone () - -
Address Email Address
Address 2 Are you Eligible for U.S employment? Yes No
City
State Age (If Under 18)
Zip Code Convicted of a felony? Yes No

Employment Desired
Position Applying For If yes, when?
Rate of Expected Pay If your application is considered favorably, when can you begin work?
Are you a previous Webster City employee? Yes No

Education
-High School
Name of School Have you Graduated? Yes No
Number of Years Attended
-College
Name of School Have you Graduated? Yes No
Number of Years Attended
-Higher Education or Second College
Name of School Have you Graduated? Yes No
Number of Years Attended
-Trade, Business, or Correspondence School
Name of School Have you Graduated? Yes No
Number of Years Attended

Military Service Record
Branch of Military Rank at Discharge
Dates of Duty to

Former Employers
- Employer 1
Name Dates Employed to
Address Starting Salary
Address, Line 2 Ending Salary
Phone Number Reason for Leaving
Position Duties
- Employer 2
Name Dates Employed to
Address Starting Salary
Address, Line 2 Ending Salary
Phone Number Reason for Leaving
Position Duties
- Employer 3
Name Dates Employed to
Address Starting Salary
Address, Line 2 Ending Salary
Phone Number Reason for Leaving
Position Duties
I hereby give permission to contact the employers listed above concerning any information you deem relevant. Yes No If there is a particular employer(s), you do not wish us to contact, please indicate which one(s). Employer 1
Employer 2
Employer 3

Miscellaneous Information
Describe any skills, training or experience which especially qualifies you for the position for which you are applying.