Fields marked with an * are required City of Massillon Employment Application Name * Name First First Last Last Position you are applying for * Email * Home Phone Mobile Phone Address * Address Line 2 City * State * ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code Minimum Qualifications Do you have a Valid Ohio Drivers License? * Yes No Do you hold a High School Diploma or GED? * Yes No Are You Legally Eligible to Work in the U.S.? * Yes No Type of Employment Desired * Full-Time Part-Time Seasonal How did you hear about this position? * EDUCATION Please complete the requirements of education including school name, did you graduate and degree/diploma obtained. Also list any license or certificates held. Name of High School and City / State * Did you graduate? * Yes No Name of College / University and City / State Did you graduate? Yes No College Degree earned with details List any license/certificate you hold. Work History Please start from most recent. Employer Name * Job Title Pay/Salary Dates of Employment Phone Number Job Duties Reason you left Can we contact your employer? * Yes No Employer Name * Job Title Pay / Salary Dates of Employment Phone Number Job Duties Reason you left Can we contact your employer? Yes No Employer Name * Job Title Pay/Salary Dates of Employment Phone Number Job Duties Reason you left Can we contact your employer? Yes No Upload your updated resume Drop a file here or click to upload Choose File Maximum file size: 516MB Military Military Service - List Branch Dates From - To Status Active Military Inactive Military Inactive Military List any training, honors or special skills earned. Civil Service Positions Only Civil Service law prohibits classified employees from holding elected positions. Are you an elected official? Yes No Have you ever applied for bonding and been refused? Yes No Are you currently on lay-off status and subject to recall? Yes No I hereby certify that the answers given and statements made on this application are true and correct. I am aware a representative from the City of Massillon may conduct an investigation of my background to assist in determining my suitability for this employment. I further understand that any applicant that intentionally makes a false statement or who practices fraud in filling out this application will be refused employment. If already appointed, subsequent evidence of misrepresentation will be considered adequate cause for termination of employment. I hereby authorize all my previous employers to furnish any information concerning my persona character, health, reputation, habits, and work records. I hereby release all such persons and the City of Massillon from liability or damages incurred as a result of furnishing or obtaining this information. Electronic Signature * Please note: If you are selected to interview, a paper application will be required to be submitted at the time an interview is conducted. Email If you are human, leave this field blank.
