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Please provide a complete record of all your employment and explain any period(s) of unemployment. Begin with the most recent and work backwards. Answer all inquires and attach additional signed and dated sheets if necessary. Use of “see resume” is not acceptable.
Provide the name, address, and telephone number of individuals who are familiar with your work. (Do not include relatives.)
I certify that I have completely and accurately provided the information requested above, and I understand and agree that any omissions or misrepresentations made by me in applying for employment can result in rejection of my application or dismissal from employment if hired. Any employment is dependent upon my satisfactorily passing a physical examination and / or the associated laboratory tests including tests for drug and alcohol usage which may be required by the city of Charlevoix. Any offer of employment tendered to me is based upon my agreement to abide by the policies and rules of the City of Charlevoix.
I understand and agree that the City of Charlevoix and any investigative agency may investigate and verify any and all information related to my application for:
- Past employment
The City of Charlevoix and any investigative agency may also investigate and verify any and all information related to my application for investigative consumer history including:
- Criminal or other history
- Mode of living
- Personal characteristics
To the fullest extent legally permitted, I release from all liability the City of Charlevoix and any past employer, educational institution, credit reporting agencies / bureaus or other providers of references or information about me concerning their participation in the above inquiries, investigation or disclosures, and I waive any further notice including written notice of such disclosures to the city of Charlevoix regarding prior discipline or any other matters; further release the city of Charlevoix and the medical testing agencies and their personnel from any liability concerning the administration of or use of results from my physical examination, including without limitation laboratory tests; and authorize the medical or testing agencies and their personnel conducting the examination and / or testing to report their results to the City of Charlevoix, its agents and employees.
I understand and agree that any employment obtained with the City of Charlevoix shall be at such wages, benefits, hours and conditions as the city of Charlevoix may determine and change from time to time subject to any applicable collective bargaining agreement. Employment with the City of Charlevoix is for no definite length of time and is at will, meaning I or the City of Charlevoix can end the employment relationship at any time, with or without notice, and with or without reason or cause, subject to any applicable collective bargaining agreement.
I further understand and agree that any statements, oral or written, about my employment, including any contained in or contrary to this paragraph, are not a contract other than for at-will employment, subject to any applicable collective bargaining agreement.
I further understand and agree that to the fullest extent legally permitted, any and all legal actions, lawsuits or claims against the city of Charlevoix, its officials, agents, or employees arising from or concerning my application for employment, employment or termination of employment in any regard, including without limitation claims arising under state or federal civil rights statutes, must be brought no later than within 90 days after an EEOC right-to-sue letter required for a lawsuit is issued, or, if not so required, then within the lesser of (A) the time limit set by statute or otherwise by law, or (B) 180 days of the event giving rise to the claim, or the claim shall be forever barred. I waive any longer time limitations periods to the contrary.
I further understand and agree that this application will remain active until the position is filled, and thereafter if not employed by the City of Charlevoix I must complete another application to be further considered for employment.
The City of Charlevoix is an Equal Opportunity Employer and does not discriminate in hiring or employment on the basis of race, color, age, sex, religion, national origin, handicap or disability, height, weight, marital, military or veteran status in accordance with all applicable laws.
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.
Once you submit this Employment Application form, you will be directed to the Background Investigation Authorization Form. For your Employment Application to be considered, we must have the completed Background Investigation Authorization Form.
This field is not part of the form submission.
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