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HomeMy WebLinkAbout2010 04 26 Informational 101 Electronic Employment Application COMMISSION AGENDA Informational X Consent ITEM 101 Public Hearings Regular April 26, 2010 Mgr. / ept. Regular Meeting Authorization REQUEST: The Information Services Department wishes to inform Commission of the recently revised Employment Application which can now be electronically filled and submitted from the City web site. SYNOPSIS: The City's previous employment application has been reviewed and updated and made available on the City's website. In addition, the form can now be filled and submitted electronically from the City website. CONSIDERATIONS: The City's previous employment application was old, out -of -date, and needed to be updated. It underwent a review by staff, the HR department, and the City Attorney's Office. This review necessitated a total revamp of the form. A non - fillable employment application was previously available on the City's website. The new form will be available on the City's website in the Employment section on Tuesday, April 27, 2010. Applicants can fill and submit the application by any of the following methods. The form can be: • Filled and submitted electronically via email • Filled electronically, printed, and mailed, faxed or hand delivered • Printed and filled manually, and mailed, faxed, or hand delivered FISCAL IMPACT: $0. There is no cost for the revamp of this form. COMMUNICATION EFFORTS: This new form will be promoted via the City's website under News and Events, eCitizen, and RSS feeds. REGULAR MEETING - APRIL 26 , 2010 AGENDA ITEM - INFORMATIONAL 101 PAGE 2 OF 2 RECOMMENDATION: For informational purposes only. ATTACHMENTS: New City Employment Application Form (3 pages) is \admin docs\agenda items \fy 2010 \042610_comm informational_101_new online _employment_application.docx City of Winter Springs Application for Employment t .4 TE 3 Z IRO u '' 10) '� n /0Rtn Methods of Delivery: Mailing Address: 1126 East State Road 434, Winter Springs, FL 32708 Fax Number: 407 - 327 -4753 Email Address: employment @winterspringsfl.org Provided by Finance and Administrative Services (HR) To Applicant (PLEASE PRINT CLEARLY) We deeply appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will aid us in placing you in the position that best meets your qualifications and may assist us in possible future upgrading. Personal Date: E -Mail Address: I . 11 1 Last Name: First Name: Middle Name: 1 11 Street Number: Street: Cit : State: Zi Code: I _ J IIIIIIIIIIIIII Phone Number: Cell Phone Number: How did you hear about this position: 1 11 11 Position(s) Applied for: Rate of Pay expected (per week): 1. . J Would you work for: ' © Full -Time 0 Part -Time Were you previously employed by us: If yes, when: 0 Yes ONo 1 1 List any friends or relatives (by blood or Are there any other experiences, skills, or qualifications marriage) working for us. Indicate their name(s), position, which you feel would fit you for work with our and relationship below: organization: Record of Education School Name and Last Year Did You Year of Diploma, Degree Course of Study Address of School Completed Graduate? Graduation or Certifications High 0 1 0 2 0 Yes IIIIII 11111111111111111111 O 304 ONo College 0 1 0 2 0 Yes IIII 1111.1111111111 all O 304 0No Other (specify) 0 1 0 2 0 Yes O 304 ONo 11111 11111111111111111111 Template Last Modified: April 12, 2010 List below all present and past employment, beginning with your most recent 1 Name, Address, Phone, Business Type: Start Date: Weekly Starting Salary: End Date: Weekly Last Salary: Describe the work you did: Reason for Leaving: Name of Supervisor: 2 Name, Address, Phone, Business Type: Start Date: Weekly Starting Salary: 1 1111.1111111111111111111110111 1.. 1 End Date: Weekly Last Salary: IIIIMIIIIIIIIIIIIIIIIIIIIIIIIII 1 1 Describe the work you did: Reason for Leaving: Name of Supervisor: 1 1 3 Name, Address, Phone, Business Type: Start Date: Weekly Starting Salary: 11_ 1 End Date: Weekly Last Salary: , J Describe the work you did: Reason for Leaving: Name of Supervisor: 4 Name, Address, Phone, Business Type: Start Date: Weekly Starting Salary: 1 11 1 End Date: Weekly Last Salary: Describe the work you did: Reason for Leaving: Name of Supervisor: 1 1 1 5 Name, Address, Phone, Business Type: Start Date: Weekly Starting Salary: 1 11 1 End Date: Weekly Last Salary: .1 11 1 Describe the work you did: Reason for Leaving: Name of Supervisor: May we contact the employers listed above: If not, specify the one(s) you do not wish us to contact: 0 Yes 0No 010 © 405 Personal References (Not Former Employers or Relatives) Name, Address, Phone, Occupation: Name, Address, Phone, Occupation: Name, Address, Phone, Occupation: Military Service Record Were you in the US Armed Forces: If yes, what branch: Q Yes Q No Date of Duty From: Date of Duty To: List duties in service include special training: I■■ Rank at discharge: Disclaimer The facts set forth in this application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit bureaus of your choice. In making this application for employment I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. This inquiry, if made, may include information as to my character, general reputation, personal characteristics and mode of living. Information about the investigative report will be disclosed in accordance with the requirements of the Fair Credit Reporting Act. The City is an Equal Opportunity Employer and doesn't discriminate on the basis of race, sex, religion, national origin, age, color, pregnancy, veteran's status, genetic information or disability. Signature of Applicant: 1 ........ Additional Details How long have you lived at present address: 1 1 Previous address: How long did you live there: 1 1 Are you over the age of eighteen: If no, hire is subject to verification that you are of O Yes 0 No minimum legal age. Have you ever been bonded: If yes, on what jobs: © Yes 0 N Have you ever been convicted of a crime (excluding If yes, describe in full: Juvenile or minor traffic offenses): © Yes 0 No City of Winter Springs Drug -Free Workplace Program Pre - Employment Agreement (Please Read Carefully) I freely and voluntarily agree to submit to a drug test as part of my application for employment. I understand that either my refusal to submit to the drug test or my failure to qualify according to the minimum standards established by the City of Winter Springs for this examination will disqualify me from further consideration for employment. I further understand that upon commencement of employment with the City of Winter Springs, I may again be required to submit to a drug test. I understand that my refusal to take a requested drug test or my failure to meet the minimum standards set forth for the examination, may result in immediate suspension or discharge. I have read in full and understand the above statements and conditions of employment. Applicant's Signature: Date: 1 11 1 *If submitting this form by email, type your name in the signature boxes above