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Employment Application

Home » City Government » City Clerk » Employment Application
Employment Applicationmaly-goth-admin2021-08-03T17:37:41-05:00
Name(Required)
Address(Required)
Date Available(Required)
Are you a citizen of the United States?(Required)
If no, are you authorized to work in the U.S.?(Required)
Have you ever worked for this company?(Required)
Have you ever been convicted of a felony?(Required)

Education

Did you graduate?
Did you graduate?
Did you graduate?

References

Please list three professional references.

Previous Employment

May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?

Military Service

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Clear Signature
Date

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City of Gothenburg
409 9th Street
Gothenburg, NE 69138
Phone: (308) 537-3677

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