Fields marked with an * are required City of Massillon Employment Application (Non-Fire, Non-Police) Name Name First First Last Last Email * Home Phone Mobile Phone Address * Address Line 2 City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code Minimum Qualifications Do you have a Valid Ohio Drivers License? * Yes No Have you ever been convicted of a crime? * Yes No If YES, please explain in detail. Do you hold a High School Diploma or GED? * Yes No Are You Legally Eligible to Work in the U.S.? * Yes No 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. If you are human, leave this field blank.