Online Standard Employment Application

Employment Application
An Equal Opportunity Employer

The City of McAlester is an Equal Opportunity Employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation should notify a City of McAlester HR Staff member. A paper copy will remain in the HR office up to 10 days after the position is filled and up to one year in an electronic format.

Applicant Information - Section 1
Last Name:

First Name:

Middle Name:

Other name(s) used:

Current Street Address:

Apt #:

City:

State

Zip

Home Phone:

Cell Phone:

Email:

Preferred Contact Method:
 Home Phone     Cell Phone     Email
Employment Positions - Section 2
Position[s] Applying for:


Are you applying for:        Regular part-time work?  Yes   No      Regular full-time work?  Yes   No

What days are you available for work?   Sun  Mon  Tue   Wed  Thu   Fri  Sat

Personal Information - Section 3
Have you worked for the City before?  Yes  No
If yes, please explain (include date): 

Do you have any friends, relatives, or acquaintances working here?  Yes  No
If yes, state name & relationship: 

IF HIRED:
1. Do you have transportation to/from work?  Yes  No
2. Are you over the age of 18?  Yes  No
3. Can you present evidence of your U.S. citizenship/proof of your legal right to work in the United States?  Yes  No
4. Are you willing to submit to and pass: 
 a controlled substance test?  Yes  No  
a physical capacity profile exam?   Yes  No
 
Are you able to perform the essential functions of the job, either with/without reasonable accommodation?  Yes  No
If no, describe the functions that cannot be performed: 

The City complies with ADA and reasonable accommodation measures necessary for eligible applicants/employees to perform essential functions.

No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date, nature, significant details that affect the description of the event, surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered.

Education, Training, and Experience - Section 4
Mandatory HS/GED Minimum Requirement

High school Name:   
City/State: 
Graduate?  Yes  No      Degree/Diploma: 

Highest Level College/University: 
City/State: 
Graduate?  Yes  No     Degree/Diploma? 

Career Tech: 
City/State: 
Certification:
 
MILITARY SERVICE  Yes  No  Military Branch:   Highest Rank:  
Total Years served:  Job Title(s):  
Job Skills:
 
Relevant Job Experience for Past Ten Years - Section 5
Describe all RELEVANT work experience, indicate how it relates to the position you are applying for. If no relevant experience, describe any RECENT work experience. Include MONTH and YEAR of your beginning and ending dates of employment or experience. Failure to provide complete information may result in the disqualification of your application.
WE MAY CONTACT THE EMPLOYERS LISTED UNLESS YOU INDICATE THOSE YOU DO NOT WANT US TO CONTACT.
Do Not Contact Employer #(s):   Reason(s): 
1. Employer Name: 
Phone:    City/State: 
Supervisor: 
Employed From:  to   Job title: 
SALARY: Start $  per   End $ per   Hours per week: 
Reason for Leaving: 
Primary Duties: 

2. Employer Name:  
Phone:   City/State: 
Supervisor: 
Employed From:  to   Job Title: 
SALARY: Start $ per   End $ per  Hours per week: 
Reason for Leaving:
Primary Duties: 
3. Employer Name: 
Phone:  City/State: 
Supervisor: 
Employed from:  to   Job Title: 
Salary: Start $  per   End $  per   Hours per week: 
Reason for Leaving:
Primary Duties: 
References - Section 6
List three professional references that have knowledge of your work performance within the last five years.
1. Name:  Phone:  
Occupation:   Years Known: 
Email Address: 

2. Name:  Phone: 
Occupation:  Years Known: 
Email Address: 

3. Name:  Phone: 
Occupation:  Years Known: 
Email Address: 
Affidavit - Section 7
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
   I certify that the information set forth in my employment application is true and complete to the best of my knowledge. I understand that any incorrect, incomplete, exaggerated, or false information furnished by me will subject me to disqualification or to discharge from employment at any time. I understand that it is my responsibility to include with my application copies of verification of any education, license, or certification requirements for the position for which I have applied.

Please Read and Initial Each Paragraph, then Sign Below
 I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of the application or if I am employed by this company, terms for my immediate expulsion from the City of McAlester.

  I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the City of McAlester.

 I permit the City of McAlester to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the City of McAlester, all past employers, and educational institutions, and their employees, representatives, and agents from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any information by any person or party, whether such information is favorable or unfavorable to me.

Applicant's Electronic Signature (Type Full Name): 
Date: 
UNSIGNED AND/OR INCOMPLETE APPLICATION WILL RESULT IN APPLICATION NOT BEING PROCESSED. 
Resume, Certifications, and Other Documents

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