Notice: This application is to be submitted for all positions other than Police Officer Openings. Equal Employment PolicyIt is the policy of the City of Euclid to seek and employ the best qualified individuals for all positions, to provide equal opportunity for the advancement of employees, including upgrading, promotion and training: and to administer these activities in a manner which will not discriminate against any person because at race, religion, sex, age, disability, color or national origin.Personal InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work Phone*Email* Do you have a work permit if you are under 18 years of age?YesNoDo you have a valid Ohio driver’s license?*YesNoDrivers license numberPosition(s) Applied ForInclude Department - Number - Position Title123Education - CollegeCollege name & locationCollege last year completed123456College graduate?YesNoType of degree or diplomaMajor area of studyEducation - High SchoolHigh School name & locationHigh School last year completed9101112High School graduate?YesNoType of degree or diplomaMajor area of studyEducation - U.S. MilitaryName & locationMajor area of studyConviction InformationConviction Information will not necessarily bar an applicant from employment.Have you ever been convicted of a crime other that a minor traffic violation?*YesNoIf yes, give date, reason, disposition of case, and place of violationEmployment HistoryStarting with your present or most recent employer, list your work experience for at least the last ten years. Please account for all periods of unemployment in this section. Use the last page of the application form if you need additional space. DO NOT USE "Refer to resume".Present EmployerAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneDate Started MM DD YYYY Starting PayDate Ended MM DD YYYY Ending PayReason for LeavingDuties PerformedName & Title of immediate supervisorDo you need to add a second employer?YesNoEmployerAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneDate Started MM DD YYYY Starting PayDate Ended MM DD YYYY Ending PayReason for LeavingDuties PerformedName & Title of immediate supervisorDo you need to add a third employer?YesNoEmployerAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneDate Started MM DD YYYY Starting PayDate Ended MM DD YYYY Ending PayReason for LeavingDuties PerformedName & Title of immediate supervisorReferencesGive name, address and telephone number of three references who are not related to youApplicant’s StatementI certify that the information contained in This application is true and complete to the best of my knowledge. I understand that, if employed, false statements or omissions on this application are grounds for immediate disqualification or dismissal upon discovery thereof. I authorize all, persons, schools, companies, and government agencies to give you any and all information concerning my background, any pertinent information they may have, personal or otherwise and release all parties from liabilities for any damage that may result from furnishing the same to you. I understand that I may be required to undergo medical examinations before beginning work to determine my ability to perform the duties of the position applied for and failure to undergo such medical examinations shall be grounds for disqualification. In consideration of my employment, I agree to abide by the City’s ordinances, rules and regulations. I understand that my employment and compensation can be terminated with or without cause and with or without prior notice, at any time, at the option of either the City or myself. I understand that no manager or supervisor other than The Mayor has any authority to employ persons on behalf of the City, but not contrary to the foregoing. I hereby authorize the City of Euclid to release this application to private or public employers seeking to fill job openings.Signature*Date* Additional InformationList skills, interests. Languages spoken or read, licenses, certifications, etc.City of Euclid EQUAL EMPLOYMENT OPPORTUNITYResponses to these questions are OPTIONAL. These questions are included to assist our equal employment opportunity efforts. Providing this information is VOLUNTARY and will in no way affect the processing of your application or your being considered for employment. We will process your responses to these confidential questions separately. Responses will be used for statistical purposes only.Position Applied ForDate OPTIONAL! Please indicate your sexMaleFemaleOPTIONAL! Please indicate your age groupUnder 1818-2526-3940-5455-6970+OPTIONAL! Please indicate your race/ethnicity:WHITE: All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.BLACK or AFRICAN AMERICAN: All persons having origins in any of the Black racial groups of Africa.HISPANIC or LATINO: All persons of Mexican, Puerto Rican, Cuban, Central or South America, or other Spanish culture or origin, regardless of race.ASIAN: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent (for example, China, India, Japan and Korea).NATIVE HAWAIIAN or PACIFIC ISLANDER: All persons having origins in any of the original peoples of the Hawaiian Islands and Pacific Islands (for example, Hawaii, Philippine Islands and Samoa).AMERICAN INDIAN or ALASKAN NATIVE: All persons having origins in any of the original peoples of North America and who maintain cultural identification through tribal affiliation or community recognition.OPTIONAL! Are you an individual with a physical or mental impairment which substantially limits one or more of your major life activities?YesNoOPTIONAL! Are you a veteran?YesNoOPTIONAL! If you answered Yes to the previous question, please indicate if one or more of the following apply MILITARY STATUS: The performance of duty in a uniformed service, to include active duty, active duty for training, initial active duty for training, inactive duty for training, full-time National Guard duty. DISABLED VETERAN: A person whose discharge or release from active duty was for a disability incurred or aggravated in the line of duty. DESERT STORM/SHIELD VETERAN: A person whose active duty was performed after August 2, 1990, in the Persian Gulf Conflict. VIETNAM ERA VETERAN: A person served on active duty for a period of more than 180 days, any part of which occurred between August 5, 1964, and May 7, 1975.