Apply for HEAVY EQUIPMENT OPERATOR

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Summary
Title:HEAVY EQUIPMENT OPERATOR
ID:1011
Location:St. Robert, Missouri
Department:Public Works Department
Salary Range:$17.77 - $19.28 per hour
Resume
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Contact Information
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Application for Employment - General

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APPLICANT INFORMATION
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EMPLOYMENT HISTORY

List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, and on your accompanying resume.

Employer 1

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Employer 2

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Employer 3

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Employer 4

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Employer 5

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EMPLOYMENT DESIRED
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EDUCATION HISTORY

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

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School 2

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School 3

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School 5

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MILITARY HISTORY
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SPECIALIZED SKILLS AND QUALIFICATIONS
REFERENCES

Provide three professional references that are not friends, relatives or former supervisor, include Name, Daytime Phone Number, Relationship, and Years Known.

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ACKNOWLEDGEMENT

I certify that the answers given by me in this application for employment are correct to the best of my knowledge and belief. I understand that any falsification of this application, whether willingly or accidental, is grounds for disqualification of employment consideration, or dismissal from employment if I am hired.

I authorize the City of St. Robert to contact any and all of the references I have attached to obtain previous employment information or any other pertinent information that they may have. Further, I release the attached references from any and all liability for any damages that may result from information collected by the City of St. Robert. Verification of eligibility to work in the United States must be satisfied within three days of employment.

I further acknowledge that by applying for employment with the City of St. Robert, I consent to a criminal background check of my person and that City officials will review the information received to make final determination on my employment. I further acknowledge that as a condition of employment I may be required to have a drug test, at the city’s cost, and will be required to supply proof of authorization to work in the United States.

I understand that, if I am hired, the job description for which I am applying is an “at-will” position and does not constitute a written or implied contract of employment with the City of St. Robert.

Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
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Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
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Veteran Status: (Please check all that apply)
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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