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Personal Information

First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Do you have a current and valid Driver's License?*
1. Yes
1. No
Do you claim veteran’s preference?*
1. Yes
1. No
Please attach a copy of Federal DD214 or 215 or a veteran’s disability preference letter from the US Department of Veterans Affairs.
Have you been discharged or resigned from any position?*
1. Yes
1. No
Please explain:
Are you able, at the time of employment, to submit verification of your legal right to work in the United States?*
If hired, you must complete the I-9 form required by the U.S. Immigration and Naturalization Service on or before first day of employment.
1. Yes
1. No
Upload Cover Letter (PDF - Please)
Encouraged, not required.
Upload Resume (PDF - Please)
Encouraged, not required.
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Position Information

Which position are you applying for?
Date Available:*
Type of employment desired*
1. Full Time
1. Part Time
1. Internship
How did you hear about the position?*
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Education and Training

High School
Address
College
Address
Degree
Other
Address
Degree
List any special training, licenses, certificates, machine skills, office equipment or other special skills you may have that are pertinent to the position for which you are applying.
If additional space is needed for education, training or skills, attach supplemental sheet.
Upload supplemental sheet.
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Employment History

(From Most Recent)
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Reason for leaving:
Employed From - To (Date)
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Reason for leaving:
Employed From - To (Date)
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Reason for leaving:
Employed From - To (Date)
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References

Please list three professional references.
Full Name
Relationship
Company
Phone Number
Full Name
Relationship
Company
Phone Number
Full Name
Relationship
Company
Phone Number
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Disclaimer & Signature

Selection Policy
The City of Fairview is an equal opportunity employer and does not discriminate on the basis of race, color, religion, gender, national origin, marital status, age, mental or physical disability, familial status, sexual orientation, gender identity or source of income in the admission or access to, employment in, its programs or activities. Veterans are encouraged to apply for open positions and will be given preference over non-veterans if equally qualified.
The City Administrator, acting as the Human Resources Director, has been designated the EEO Officer and Americans with Disabilities Act Coordinator. Any questions relating to either area, the grievance procedure and associated rights should be directed to the Human Resources Program within the Administration Department of the City of Fairview.
The City of Fairview is committed to maintaining a safe and healthy workplace. Any offer of employment will be contingent upon criminal and civil record checks, other necessary job-related checks and reference checks. In addition, some positions may require a physical and/or psychological examination and drug screen. Some criminal convictions may be disqualifying.
The position for which you are applying involves a competitive selection process. All applications will be reviewed by the Human Resources Program. Applicants whose backgrounds appear to most closely match the needs of particular vacancies will be forwarded to the hiring department for consideration for interview.
The most competitive applicants for a particular vacancy will be interviewed by the hiring department and a final selection will be made. Due to the extremely large number of applicants and the limited number of job opportunities, a number of applicants do not proceed to the interview phase.
A job application is an important reflection on you. The way in which you complete your application can make a difference in determining whether or not you are selected to be interviewed for a job. If you need assistance in completing this application, please notify the City Administrator in the Administration Department who will provide the necessary accommodation for the application to be completed.
Applications received by the City of Fairview become the property of the City of Fairview and cannot be returned. If you have any questions, please feel free to contact Human Resources Program staff.
Certification and Signature
I hereby certify that all statements and information provided on this application and throughout the interview process have been or will be true and complete.
I hereby authorize the City, its agents and employees to contact my former employers as well as others to verify information I have provided the City and to obtain information about me which the City deems relevant to my employment.
I authorize anyone having knowledge about me, including the officers, directors, owners, and employees of my former employers to disclose to the City all information relating to my past employment. I agree that any information released by my former employers to the City is released in good faith and I hereby waive the right to make any claim, suit, complaint, claim for damages, or legal action of any kind against any person, entity or their officers, directors, agents, insurers, or employees which relate in any way to providing information about me to the City, consistent with ORS 30.178.
I understand the City of Fairview is committed to promoting safety and high standards of employee performance, productivity, and reliability. I agree that dependent on the position I am applying for, the City may require me to take and successfully pass a drug and alcohol test as a condition of my employment. I understand that if I have any prohibited substance in my system at the time of the drug test, the City may not hire me.
It is understood that by submitting this application for employment, I have agreed to allow the City to perform a review of publicly available criminal records as part of any background investigation.
Applicant Signature*
Date*
Date

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