CITY OF OAKWOOD

APPLICATION FOR EMPLOYMENT

DATE:
POSITION APPLYING FOR:
NAME:
(Please Print)    Last First Middle
PHONE NUMBERS: Cell Home
ADDRESS:
Street City, State Zip
EMAIL ADDRESS:
Are you legally authorized to work in the United States?
Yes No
Are you now, or have you ever been employed with the City of Oakwood?
Yes No
If yes, please select the appropriate employment status:
Full-Time Part-Time Seasonal
Are you related to any City employee?
Yes (If yes, name & relationship )
No
Are you able to perform the essential functions of this job, with or without reasonable accommodations?
Yes No
Are you at least 18 years old? (If no, you may be required to provide authorization to work.)
Yes No
How were you referred to us?
Newspaper Ad City’s Website Other Employment Website
Current Employee Other