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									                            POSITION AVAILABLE
                       PART-TIME PARKING ATTENDANT

        City of Clarksburg is accepting applications for the position of part-time Parking
Attendant. The position work schedule varies Monday – Friday between 7 a.m. – 7:00 p.m.
The pay rate for the position is $8.30 an hour and the position holder does not receive any other
benefits. Applications available from Director of Personnel Room 249 and returned too same
by 4 p.m. Friday, April 1, 2011. Applications may be mailed to:

                              c/o James Marino, Personnel Director
                              Municipal Building
                              222 W. Main Street
                              Clarksburg, WV 26301

       Anyone needing reasonable accommodations in applying for the position should
contact the City ADA Compliance Officer at 304-624-1683.

                                              EOE




Please post in the classified section for Wednesday, March 23rd, Sunday, March 27th, and,
Wednesday, March 30th.
Send billing to Municipal Building, Room 249, 222 West Main Street. Thank you.
         PLEASE READ THE FOLLOWING BEFORE
         COMPLETING OUR APPLICATION BLANK:

1. There is no guarantee of a job offer or a job interview in completing our application blank.
   Your application blank will be considered with others who have submitted applications and
   decisions about interviews will be based on this comparison.

2. Our application blank must be completely filled out in order for it to be considered for
   employment.

3. If the information provided on our application cannot be satisfactorily verified by
   employment reference checks your application could be considered as incomplete.

4. Applications are filed according to job title. Be as specific as possible in stating the job
   applying for: ANY position is not an acceptable response on our application blank.

5. Due to the large number of applications we receive and the competitive nature of our
   employment process specific reasons for employment decisions will not be released.

6. This application will only apply for the specific job you are applying for and will not be
   kept on file for future employment.

7. In completing our application blank you may be subject to the following checks:

   EMPLOYMENT REFERENCE CHECK FROM FORMER EMPLOYERS
   CRIMINAL RECORD CHECK
   CREDIT HISTORY CHECK
   DRUG SCREEN


________________________________________, I have read the above statements.
Signature of Applicant


________________________________________
Printed Name



_________________________________________
Phone Number
               Application For Employment
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age,
disability, marital or veteran status, sexual orientation, or any other legally protected status.

                                                (Please Print)
Position(s) Applied For:
Date of Application: ____/____/_____/
How Did You Learn About Us?
Advertisement ____ Employment Agency ___ Friend ___ Relative ___ Walk____ Other___________________________


Last Name                                               First Name                                         Middle Name

__________________________________________________________________________________________________
Address      Number                  Street                              City                  State     Zip Code

__________________________________________________________________________________________________
Telephone Number(s)                                                                          Social Security Number

__________________________________________________________________/_________/___________

If you are under 18 years of age, can you provide required proof of your eligibility to work? ___ Yes                   ___ No

Have you ever filed an application with us before?                                                         ___ Yes ___ No

                                                                                If Yes, give date          _______________
Have you ever been employed with us before?                                                                ___ Yes ___ No

                                                                                If Yes, give date          _______________


Are you currently employed?                                                                                 ___ Yes ___ No

May we contact your present employer?                                                                       ___ Yes ___ No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
       Proof of citizenship or immigration status will be required upon employment.
                                                                                                            ___ Yes ___ No

On what date would you be available for work?                                                                ______________

Are you available to work: ____ Full Time                ____ Park Time          ____ Shift Work       ____ Temporary

Are you currently on “lay-off” status and subject to recall?                                                 ___ Yes ___ No

Can you travel if a job requires it?                                                                         ___ Yes ___ No

Have you been convicted of a felony within the last 7-year?                                                  ___ Yes ___ No
          Conviction will not necessarily disqualify an applicant from employment.
If yes, please explain
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Education
                       Name and Address   Course of Study         Years             Diploma
                          of School                             Completed           Degree
Elementary /Junior /
Middle School(s)

High
School

Undergraduate
College

Graduate
Professional

Other
(Specify)



                  Indicate any foreign languages you can speak, read and/or write
                          Fluent                  Good                    Fair
Speak
Read
Write

Describe any specialized training, apprenticeship, skills and extra-curricular activities.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________



Describe any job-related training received in the United States military.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities.
You may exclude organizations, which indicate race, color, religion, gender, national origin, disabilities or other
protected status.

1. Employer: _________________________________________________________________
   Address: _________________________________________________________________
   Telephone Number(s) ________________________________________________________
   Job Title ___________________________ Supervisor ______________________________
   Dates Employed: From ____________ To ________________
   Hourly Rate/Salary: Starting _________________ Final ____________________
   Work Performed
   _______________________________________________________________________________________
   _______________________________________________________________________________________


2. Employer: _________________________________________________________________
   Address: _________________________________________________________________
   Telephone Number(s) ________________________________________________________
   Job Title ___________________________ Supervisor ______________________________
   Dates Employed: From ____________ To ________________
   Hourly Rate/Salary: Starting _________________ Final ____________________
   Work Performed
   _______________________________________________________________________________________
   _______________________________________________________________________________________

3. Employer: _________________________________________________________________
   Address: _________________________________________________________________
   Telephone Number(s) ________________________________________________________
   Job Title ___________________________ Supervisor ______________________________
   Dates Employed: From ____________ To ________________
   Hourly Rate/Salary: Starting _________________ Final ____________________
   Work Performed
   _______________________________________________________________________________________
   _______________________________________________________________________________________
                    If you need addition space, please continue on a separate sheet of paper.

   List professional, trade, business or civic activities and offices held.
   You may exclude membership, which would reveal gender, race, religion, national origin, age ancestry,
   disability or other protected status:
   _______________________________________________________________________________________
   _______________________________________________________________________________________
   _______________________________________________________________________________________
   _______________________________________________________________________________________
Additional Information
Computer Skills

Please Identify any training courses in computers you have taken and any computer software programs, or
systems you have worked with.

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Typing Skills

Please specify your typing speed in words per minute: ___________________________
Are you opposed to taking typing test administered by the city? _______ Yes  _________ No

Relatives

Please list any of your relatives who work for the City of Clarksburg, Relatives include but are not limited to
your spouse, children, mother, father, step-mother, step-father, spouses’ children, mother-in-law, father-in-
law, grandfather, grandmother, spouse’s grandfather, spouse’s grandmother, grandchildren, spouse’s
grandchildren, brother, sister, brother-in-law, and sister-in-law.

Relative’s Name                                       Relation to You
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________


Residency

Do you live within the official city limits of the City of Clarksburg?

_________ Yes        __________ No


Reasonable Accommodation

If you need a reasonable accommodation in the application or hiring process please contact the city
personnel office at 624-1683 ext. 142. The address is:
                                                City of Clarksburg,
                                                Municipal Building
                                                222 W. Main Street
                                                Clarksburg, WV 26301
Applicant’s Statement
I certify that answers given herein are true and complete to the best of my knowledge.
“I authorize investigation of all statements contained in this application for employment as
may be necessary, in arriving at an employment decision.”
This application for employment shall be considered only for the position that you are
applying for.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any
employment relationship with this organization is of an “at will” nature, which means that
the Employee many resign at any time and the Employer may discharge Employee at any
time with or without cause. It is further understood that this “at will” employment
relationship may not be changed by any written document or by conduct unless such change
is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my
application or interview(s) may result in discharge. I understand, also, that I am required to
abide by all rules and regulations of the employer. As a pre employment condition a drug
screen will be required.


                  ____________________________           __________
                  Signature of Applicant                  Date

For Personnel Department Use Only

Arrange Interview    ____ Yes _____ No
Remarks __________________________________________________________________
         _________________________________________ _______________________
                                                     Interviewer      Date
Employed ____ Yes ____ No           Date of Employment ______________________

Job Title ____________________ Hourly Rate/Salary ________ Department ___________

             By _____________________________________________________________
                                  Name and Title                Date

Notes
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

*PLEASE ATTACH A RESUME WITH AT THREE (3) REFERENCES.

								
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