Employment Application Question Title * 1. Name: Question Title * 2. Date: Today's Date: Date Question Title * 3. Email Address: (By sharing your email you agree to receive emails from the City of Morgantown regarding the position you are applying for.) Question Title * 4. Phone Number:(By sharing your phone number you agree to receive calls from the City of Morgantown regarding the position you are applying for.) Question Title * 5. Location: Question Title * 6. Are you over the age of 18 years?(If no, you may be required to provide authorization to work.) Yes No Question Title * 7. Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment.) Yes No Question Title * 8. Position applying for: (Must match position on open job posting.) Question Title * 9. Can you meet the schedule requirements for this position? Yes No If no, please explain. Question Title * 10. Can you perform the essential functions of the position for which you are applying? Yes No If no, please explain Question Title * 11. Do you meet the minimum education required for this position? Yes No Please share how you meet these requirements. Question Title * 12. Do you meet the minimum experience required for this position? Yes No Please share how you meet this requirement. Question Title * 13. Have you completed any special courses, seminars, and/or training directly related to the position for which you are applying? Yes No If yes, please describe. Question Title * 14. Have you ever done any volunteer work? Yes No If yes, describe: (Omit any volunteer work which reflects your race, color, religion, age, sexual orientation, marital status, or disabilities.) Question Title * 15. Do you belong to any professional, trade, business, or civic organizations that deal with the position for which you are applying? Yes No If yes, please explain and list offices held:(Omit any organization which reflects your race, color, religion, age, sexual orientation, marital status, or disabilities.) Question Title * 16. Have you ever worked for the City of Morgantown before? Yes No If yes; what department, position, and when? Question Title * 17. Do you have any relatives or friends who work for the City of Morgantown? Yes No If yes; who and in what department do they work? Question Title * 18. If you are offered this position when is the soonest you would be available to start?(Please share specific date or time frame once offer is received. For example: 2 weeks once offer is accepted.) Question Title * 19. Employment History #1: Employer Information - present or most recent employer: Name Company State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Question Title * 20. Employment History #1: Dates Employed Question Title * 21. Employment History #1: Please describe the work performed. Question Title * 22. Employment History #1:May we contact this employer? Yes No If no, please explain: Question Title * 23. Employment History #2:Employer Information Name Company State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Question Title * 24. Employment History #2: Dates Employed Question Title * 25. Employment History #2: Please describe the work performed. Question Title * 26. Employment History #2:May we contact this employer? Yes No If no, please explain: Question Title * 27. Employment History #3:Employer Information Name Company State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Question Title * 28. Employment History #3: Dates Employed Question Title * 29. Employment History #3: Please describe the work performed. Question Title * 30. Employment History #3:May we contact this employer? Yes No If no, please explain: Question Title * 31. Professional Reference #1 Name Company State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Question Title * 32. Professional Reference #2 Name Company State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Question Title * 33. Professional Reference #3 Name Company State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Question Title * 34. Please share your resume here. PDF, DOC, DOCX file types only. Choose File Choose File No file chosen Remove File Please share your resume here. Question Title * 35. IMPORTANT, PLEASE READ AND INDICATE THAT YOU UNDERSTAND:I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the City of Morgantown to hire me. If I am hired, I understand that either the City of Morgantown 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 the City of Morgantown has the authority to make any assurance to the contrary.I attest by indicating yes below that I have given to the City of Morgantown true and complete information on this application. No requested information has been concealed. I authorize the City of Morgantown 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.*THIS APPLICATION IS VALID ONLY FOR THE POSITION FOR WHICH I AM APPLYING.We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Yes Question Title * 36. The City of Morgantown is committed to providing equal employment opportunities and promoting diversity in the workforce and is also subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to support these goals and requirements, we invite applicants to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential to the extent possible and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. Data reported by the City will not identify any specific individual, and the City will protect individual records from disclosure to the extent permitted by law.Please follow the link below to complete the survey and indicate yes to this question that you understand the above statement.Voluntary Survey - Self Identification Yes Done
