Application for Employment

3232 MAIN STREET • LEMON GROVE, CA 91945 • PHONE (619) 825-3800

Instructions: Answer all questions completely and accurately. Do not write “See Resume.” Type or print legibly in ink. All statements are subject to verification. An incorrect or incomplete application may bar you from employment.

Last Name

First Name

Position you are applying for

Address

City, State, & Zip Code

HOME PHONE NUMBER:

Work Phone Number

email address

Valid Class C California Driver's License?

Yes

Have you ever been employed by the City of Lemon Grove?

Yes

Do you have any relatives employed by the City?

Yes

If "Yes" state their names.

If hired, can you show verification of your right to work in the United States?

Yes

Highest level of education completed:

High School or GED

Some College

Associates

Bachelors

Masters

Doctorate

Name and location of College, University, Trade School, Other

Major Course of Study

Type of Degree/Certification

Date Awarded

Name and location of College, University, Trade School, Other

Major Course of Study

Type of Degree/Certification

Date Awarded

Name and location of College, University, Trade School, Other

Major Course of Study

Type of Degree/Certification

Date Awarded

Licenses, Registration, Certificates of professional or vocational competence:

Computer Literacy

Access

Excel

MS Word

Outlook

Powerpoint

Windows

WordPerfect

Describe any other job related skills:

Where did you hear of this opportunity?

Website

Facebook

Instagram

Newsletter

Relative

Friend

EXPERIENCE: List all jobs you have had in the last ten years; list your present or most recent job first. Failure to list the related experience required or failure to provide any of the information requested will result in your application being considered incomplete and therefore subject to rejection. Do not write “See Resume.” If more space is required, you may attach additional sheets, but a resume will not substitute for the information required in this section.

Dates Employed:

Employer

Your title

Hours Weekly

Address

Duties:

Reason for leaving:

Supervisor:

Supervisor's Title:

Supervisor's Telephone Number:

Dates Employed:

Employer

Your title

Hours Weekly

Address:

Duties:

Reason for leaving

Supervisor:

Supervisor's Title:

Supervisor's Telephone Number:

Dates Employed:

Employer

Your title

Hours Weekly

Address:

Duties:

Reason for leaving

Supervisor:

Supervisor's Title:

Supervisor's Telephone Number:

May we contact your current and previous employers?

Yes

Comments:

I certify that the statements contained in this application are true and complete and understand that falsified statements on this application will subject me to disqualification or dismissal. I understand that reference checks may be made regarding my past employment and I authorize investigation of all statements contained herein.

Sign your name

Clear