Application for Employment

Veterans Preference in Employment and Retention

The City provides preference to eligible veterans and family member in accordance with Florida's Veterans' Preference Law, Chapter 295 of the Florida Statutes

Are you claiming veterans' preference? *

Choose one:

A veteran with a service-connected disability who is eligible for or receiving compensation, disability retirement, or pension under public laws administered by the U.S. Department of Veterans' Affairs and the Department of Defense.

The spouse of a veteran who cannot qualify for employment because of a total and permanent service-connected disability, or the spouse of a veteran missing in action, captured, or forcibly detained by a foreign power.

A veteran who has served on active duty at least one day during a war-time period, and separated with an honorable discharge.

The unremarried widow or widower of a veteran who died of a service-connected disability.

The mother, father, legal guardian, or unremarried widow or widower of a veteran who died in the line of duty under combat-related conditions, as verified by the Department of Defense.

A veteran who has served in active duty (other than active duty for training) and who separated with an honorable discharge.

Branch of Service

Date of Entry

Date of Discharge

Documentation substantiating your claim for veterans' preference must be furnished at the time of application or be submitted prior to the application deadline date. Preference-eligible applicants who believe they have not been afforded preference in accordance with Florida law have the right to request an investigation by submitting a written request within 60 calendar days to the Florida Department of Veterans' Affairs, Division of Benefits and Assistance, 9500 Bay Pines Blvd, Room 214, St Petersburg, Florida 33708.

Your Contact Information

First Name *

Last Name *

Middle Initial

Street Address *

City *

State *

Zip Code *

Home Phone Number *

Mobile/Other Phone Number

Best Time to Call *

E-mail *

You will receive a confirmation message at this address upon submitting the application.

Application Details

Position You Are Applying For *

Have you ever filed an application with the City of Wauchula before? *

If "Yes", give date(s) of application(s), and positon(s) applied for: *

Have you ever been employed with the City of Wauchula before? *

If "Yes", give date(s) and positon(s): *

Do you have any friends or relatives that work for the City of Wauchula? *

If "Yes", state name(s), relationship(s), and department(s): *

Are you currently employed? *

Are you currently on lay-off from employment and subject to re-call? *

Are you eligible to work in this country? *

Proof of work eligibility will be required upon employment.

Date Available to Begin Work *

Desired Salary Range *

Type of Employment *

Full Time

Part Time

Temporary

Select one or more.

If required, can you travel? *

If required or directed, are you able to work overtime? *

Have you ever been discharged or asked to resign from employment? *

If "Yes", give details, including the name and address of the employer, and the reason you were given for the action: *

Do you agree that the reason given by the employer was valid? *

If "No", please explain: *

For driving positions, are you a licensed Florida automobile operator or chauffeur?

License No. *

Date of Expiration *

Restrictions *

Education

High School

Name of School, City, and State *

Years Completed *

Diploma *

Undergraduate College

Name of School, City, and State

Courses of Study/Major

Years Completed

Diploma/ Degree

Graduate/Professional

Name of School, City, and State

Courses of Study/Major

Years Completed

Diploma/ Degree

Trade School/Other

Name of School, City, and State

Courses of Study/Major

Years Completed

Diploma/ Degree

Work Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.

Present / Most Recent Job

Employer *

Address *

Phone *

May we contact? *

Start Date *

End Date *

Reason for leaving? *

Final Job Title *

Work Performed *

Starting Wage *

Final Wage *

Another Job or Activity

Employer

Address

Phone

May we contact?

Start Date

End Date

Reason for leaving?

Final Job Title

Work Performed

Starting Wage

Final Wage

Another Job or Activity

Employer

Address

Phone

May we contact?

Start Date

End Date

Reason for leaving?

Final Job Title

Work Performed

Starting Wage

Final Wage

Another Job or Activity

Employer

Address

Phone

May we contact?

Start Date

End Date

Reason for leaving?

Final Job Title

Work Performed

Starting Wage

Final Wage

Another Job or Activity

Employer

Address

Phone

May we contact?

Start Date

End Date

Reason for leaving?

Final Job Title

Work Performed

Starting Wage

Final Wage

Another Job or Activity

Employer

Address

Phone

May we contact?

Start Date

End Date

Reason for leaving?

Final Job Title

Work Performed

Starting Wage

Final Wage

Other Applicant Details

Professional and Trade Associations

List professional, trade, business, or civic activities in which you participated, and offices held:

Specialized Skills (Skills, Equipment Capabilities)

Other Machinery and Equipment:

Words Per Minute

What other specialized skills or qualifications do you have that you would like for us to consider?

Personal / Professional References

First Reference

Name

Do not include family members.

Phone Number

Occupation

Best Time to Call

Second Reference

Name

Do not include family members.

Phone Number

Occupation

Best Time to Call

Third Reference

Name

Do not include family members.

Phone Number

Occupation

Best Time to Call

Drug Free Workplace

The City's Drug-Free Workplace Policy is aimed at insuring zero tolerance to illegal drugs at all times and its alcohol-free policy to zero tolerance under circumstances that affect or might affect the safety and well being of employees, citizens and others, or the effective operation of City business.

Unless the law requires otherwise, the City will not hire an applicant who uses, possesses, sells, distributes or cultivates illegal controlled substances or whose use of alcohol will or may adversely affect the efficient operation of City business. To the extent allowed by applicable law, the City, at its option, may require successful completion of one or more drug screening tests as a condition of employment. Whenever applicants for employment are to be tested for the presence of illegal controlled substances, they shall be informed of the test in advance and in writing.

I Understand the City's Drug-Free Workplace Policy *

Yes

Certification

I Certify that the answers given herein are true and complete. If I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

I understand that if I am hired, I am required to successfully complete a probationary period as established by the City's policy, practice, rules and regulations.

I understand that if I am hired I am required to abide by all policies, practices, rules and regulations of the City of Wauchula and that the failure to do so may result in discharge. I understand that the City's policies, practices, rules, and regulations do not constitute a contract of employment. I further understand that all policies, practices, rules and regulations of the City may be modified, supplemented, suspended, superseded, repealed, or deleted by the City at any time and for any reason, with or without notice to me.

I understand that if I am hired my employment relationship with the City is "at will," which means that I may resign at any time and the City may discharge me at any time with or without cause and with or without notice. This "at will" relationship may not be changed or modified for any reason unless specifically acknowledged in writing by the City Manager.

I understand that this employment application becomes the sole property of the City of Wauchula, is a public record, and may be inspected by any member of the public for any reason.

Your Full Name *

I certify that the answers given herein are true and complete. *

Yes

Leave this field blank

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