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Application for Employment

  1. CITY OF OKMULGEE 

    AN EQUAL OPPORTUNITY EMPLOYER

  2. INSTRUCTIONS: 

    The application must be completed even if you attach a resume. You must be able to substantiate all statements made. City of Okmulgee, P.O. Box 250, Okmulgee, OK 74447

  3. Position you are applying for*

  4. POLICE AND FIRE APPLICANTS ONLY :

  5. Are you over the age of 18?*

  6. Are you applying for seasonal employment

  7. Indicate all types of employment you will accept:*

  8. Person who can contact you:

  9. Do you have a legal right to work in this country?*

  10. Do you have a valid driver's license?*

  11. Have you ever worked for the City of Okmulgee?*

  12. Are you Related to any City employee?*

  13. EMPLOYMENT HISTORY:

    Start with your present or last employment. It is importnat that complete information be given.

  14. Do you Have an additional previous employer to add?*

  15. Do you have an additional previous employer to add?

  16. Do you have an additional previous employer to add?

  17. Do you have an additional employer to add?

  18. Do you have an additional employer to add?

  19. Were you ever discharged or asked to resign from any position?

  20. May we contact your present employer?

  21. Have you ever been in the military service of the United States?

  22. Present membership in National Guard or Reserves?

  23. Other than traffic violations, have you ever been convicted of a crime?*

  24. (NOTE: A conviction does not automatically disqualify you from employment.)

  25. The City of Okmulgee adheres to the equal employment opportunity guidelines set forth by state and federal laws. All applications are considered for employment without regard to race, color, creed, religion, national origin, age, sex, disability or veteran status.

  26. Education & Training

    Select Highest Grade Completed

  27. Did you graduate from high school?

  28. GED?

  29. I certify that all the information submitted by me on this application is true, complete, and correct to the best of my knowledge, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be changed, with or without causeand with or without notice at any time by the City. I hereby authorize the investigation of all statements made in this application and hereby release from liability all persons, companies, or corporations supplying any information concerning me.

  30. I understand and agree that employment with the City of Okmulgee is "at will", which means that either I or the City can terminate the employment relationship at any time, with or without cause, with or without prior notice, and for any reason not prohibited by statute. I understand that no representative of the City has any authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the terms set out in these paragraphs, unless specifically authorized in writing.

  31. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  32. Leave This Blank:

  33. This field is not part of the form submission.