Agenda - Council - 05/13/1980 - Laserfiche WebLink

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Return to: Cit; of 15153 Nowth0n Bird, Anoka, MN 553'03 CITY OF RAMSEY APPLICATION FOR EMPLOYMENT Date Received We welcome you as an applicant for employment with the City of Ramsey. Your application will be considered with others in competition tor the position in which you are interested, I1 is the policy and intent of the City of Ramsay to provide equal op. portunity employment to all persons. This policy prohibits discrimination because of race, color, religion, age, sex, national origin, po- litical affiliation, place of residence, marital status, sexual preference, status with regard to public assistance, or disability, as is consis- tent with the City's policy of hiring a well-qualified person so as to maintain the high standards of public service required of all City employees. This policy applies to all phases of permanent and part-time employment. All information contained in or connected with this application will be considered personal and confidential and will be used only'in conjunction with your possible employment by the City of Ramsay. Please furnish us with complete information as outlined in this application. You are encouraged to attach any additional i~formation or materials which you believe qualify you for the position for which you are applying. Please print in ink or use typewriter to fill out this application. GENERALINFORMATION Title of position or kind of work you are applying for: Type of employment you are seeking: Permanent Date You Are Available To begin work: Part-time.~ Other (Specify) ~ .... ' Other Information: PERSONAL INFORMATION Last Name: Present ~ss: Current Telephone Number: Home Middle Name: city E~uslness Do you have a current Minnesota drivers license? If no, are you eligible for one and would you be willing to obtain one? ' ' 'yes ' ' -'. no Do you have any health limitations which would require special working conditions .or hours or otherwise be relevant to the position applied fo.~..._....~ · ' Yes (if yes, please explain) When was the last time you had a physical examination? / ~ ~ Would you authorize the City to have access to the report of this examination? Y~....~-~2~. ' The information requested below relates to criminal convictions. The City of Ramsay will not automatically reject an applicant who has been convicted. Before any applicant is rejected on the basis of a criminal conviction, he/she will be notified in writir~g and will be given five {5) working days to appeal. - Have you ever been convicted of a gross misdemeanor or felony for which a iail sentence could have been imposed.7 Yes If yes, date and place Nature of Offense Disposition Other Comments: Date and Place Nature of Offense : Disposition Other Comments: ,~ ~__~ .__