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Step One

application for employment
The City of Neosho is an equal opportunity employer. The City of Neosho does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
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GENERAL INFORMATION

GENERAL INFORMATION
Position applying for:*
Date:*
Date:
Last Name:*
First name:*
Middle Name:*
Other Given Names:*
Email Address:*
Phone Number:*
Present Address:*
City:*
State:*
Zip Code:*
How did you hear about us?:*
1. Walk-in
2. Other
1. City Website
2. Facebook
1. Referral
Are you 21 years of age or older?:*
1. Yes
1. No
Are you a United States citizen?*
U.S. citizenship is required for licensing as a Missouri peace officer under RSMo § 590.030 and state POST rules.
1. Yes
1. No
Do you have a valid driver's license?:*
1. Yes
1. No
Class of License:
CDL:
1. Yes
1. No
Have you ever been employed by the City of Neosho?:*
1. Yes
1. No
If yes, when?:
Do you have any friends and/or family who are currently employed by the City of Neosho?:*
1. Yes
1. No
If so, what is their name?:
Are you presently employed?:*
1. Yes
1. No
If yes, may we contact?:
1. Yes
1. No
Have you been terminated from employment or asked to resign by an employer? :*
1. Yes
1. No
If yes, please provide company names and details:
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:*
1. Yes
1. No
Have you ever used, tried, or experimented with any illegal drugs or controlled substances, including but not limited to marijuana, cocaine, heroin, LSD, methamphetamines, or other similar substances?*
1. Yes
1. No
Are you now, or have you ever been, a member of any organization or group that advocates the violent overthrow of the government of the United States or any state, or that seeks to overthrow the government by unconstitutional means?*
1. Yes
1. No
As part of the background investigation process, personal and professional references, prior employers, and associates may be contacted. Are you aware of any information about yourself, or any person with whom you have been closely associated, that could reasonably call into question your honesty, integrity, or ability to perform the duties of this job?*
1. Yes
1. No
Have you ever been convicted of a felony offense in any state or federal jurisdiction?*
1. Yes
1. No
Have you ever been convicted of a misdemeanor crime involving domestic violence, as defined by federal or state law?*
1. Yes
1. No
Are you currently, or have you ever been, the respondent in an ex parte or full order of protection issued under Missouri law or the law of any other state?*
1. Yes
1. No
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EDUCATION AND TRAINING

EDUCATION AND TRAINING
High School/GED:
Name/Address of School
Diploma/Degree
Course of Study
High School Diploma/GED Upload
College/University:
Name/Address of School
Diploma/Degree
Course of Study
College/University Diploma or Certificate Upload
Vocational/Trade:
Name/Address of School
Diploma/Degree
Course of Study
Vocational/Trade Diploma or Certificate Upload
Military Record
Please include a copy of your Long Form DD-214
Have you ever served in the Armed Forces of the United States?*
1. Yes
1. No
Branch of Service
Dates of Service
Military Record Upload
POST Certification
Are you currently POST certified in the State of Missouri?*
1. Yes
1. No
POST Certification Upload
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WORK HISTORY

WORK HISTORY
Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent employer. Incomplete information could disqualify you from further consideration.
Employer Name:
Job Title:
Date Employed (Month/Year):
Supervisor Name:
Phone Number:
Pay Rate:
Address:
Job Duties:
Reason for Leaving:
Employer Name:
Job Title:
Date Employed (Month/Year):
Supervisor Name:
Phone Number:
Pay Rate:
Address:
Job Duties:
Reason for Leaving:
Employer Name:
Job Title:
Date Employed (Month/Year):
Supervisor Name:
Phone Number:
Pay Rate:
Address:
Job Duties:
Reason for Leaving:
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REFERENCES

REFERENCES
Provide three references, not including relatives.
First & Last Name:*
Phone Number:*
Email Address:*
Years known:*
First & Last Name:*
Phone Number:*
Email Address:*
Years known:*
First & Last Name:*
Phone Number:*
Email Address:*
Years known:*
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WORK AVAILABILITY

EMPLOYMENT DESIRED

EMPLOYMENT DESIRED
Date you can start:*
Date you can start:
Hourly rate/Salary desired:*
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AGREEMENT

AGREEMENT
please read before signing:
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 Neosho to hire me. If I am hired, I understand that either the City of Neosho 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 Neosho has the authority to make any assurance to the contrary.
I attest with my signature below that I have given to the City of Neosho true and complete information on this application. No requested information has been concealed. I authorize the City of Neosho to contact previous employers listed and references provided for employment reference checks. If any information I have provided is untrue, misleading, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
I hereby release the City of Neosho from any and all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.
This employer participates in the E-Verify program under the Department of Homeland Security and USCIS. Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity per the Federal I-9 Guidelines within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Electronic Signature Agreement*
1. I agree. Electronic Signature
Signature*
Date:*
Date:
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RESUME or CERTIFICATE UPLOAD

Resume Upload
Certificate or Certification Upload
Certificate or Certification Upload

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Steps

Step One

application for employment

GENERAL INFORMATION

GENERAL INFORMATION

EDUCATION AND TRAINING

EDUCATION AND TRAINING

High School/GED:

College/University:

Vocational/Trade:

Military Record

POST Certification

WORK HISTORY

WORK HISTORY

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent employer. Incomplete information could disqualify you from further consideration.

REFERENCES

REFERENCES

Provide three references, not including relatives.

WORK AVAILABILITY

EMPLOYMENT DESIRED

EMPLOYMENT DESIRED

AGREEMENT

AGREEMENT

Electronic Signature Agreement

RESUME or CERTIFICATE UPLOAD

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