Volunteer Employment Application

Volunteer Employment Application

Police Reserve

City of

St. Paul Park

600 Portland Avenue

St. Paul Park MN 55071

(651) 459-9785

We welcome you as an applicant for employment with the City of St. Paul Park. It is the City’s policy to provide equal opportunity in employment. The City will not discriminate on the basis of race, color, creed, age, religion, national origin, marital status, disability, sex, sexual orientation, familial status, status with regard to public assistance, local human rights commission activity or other basis protected by law.

Please furnish complete information, so we may accurately and completely assess your qualifications. You may attach any other information which provides additional detail about your qualifications for employment in the position you seek. Please refer to the Applicant Data Practices Advisory for information regarding what is considered public and private information as an applicant, and if you are selected for the position, as an employee.

The City of St. Paul Park accommodates qualified persons with disabilities in all aspects of employment, including the application process. If you believe you need a reasonable accommodation to complete the application process, please contact City Clerk at (651) 459-9785.

Please print in blue or black ink

Position applied for: Date of application:
Have you ever applied for employment with us before: Yes NoIf yes, when?
Are you legally eligible to work in the United States in the position for which you are applying? Yes No
(proof of citizenship or work eligibility will be required as a condition of employment)
Will your continued employment require employer sponsorship? Yes No
Are you 18 years of age or older? Yes NoIf no, state your date of birth:
Are you related to anyone currently working in any position (full-time, part-time, seasonal or appointed committee member) for the City? Yes No If yes, who? Relationship:

PERSONAL DATA

Last NameFirst NameMiddle
Street Address
City State, Zip Code
Phone Number / Alternate Phone
E-mail Address

EDUCATIONAL HISTORY

Educational Institutions / Years Completed / Did you
Graduate? / Degree/Certificate
Major or Course
High School / Name: / Yes
No
City/State:
College or University / Name: / Yes
No
City/State:
Other School / Name: / Yes
No
City/State:
Other School / Name: / Yes
No
City/State:

LICENSES/CERTIFICATIONS— Do you have a valid Driver’s License? Yes No If so, list the state, number, class and expiration date. If relevant, list other current professional registrations, license or certificates you have.

License/Certificate/Registration / Date Issued / Date of Expiration

MILITARY EXPERIENCE

Did you serve in the U.S. Armed Forces? Yes No
Do you wish to apply for Veteran’s Preference points? Yes No (If yes, you must complete the application for Veteran’s Preference points, and submit the application and required documentation to the City by the application deadline of the position for which you are applying.)
Describe your duties:

OTHER EXPERIENCE—Describe any other training, experience, or volunteer work that is relevant to the position for which you are applying.

EMPLOYMENT HISTORY—List present to most recent employer first. “See Resume” is not an acceptable response for any entries in this application.

Company Name: / Telephone with area code
Street Address: / Employed—(Month and year)
Fromto
City, State, Zip Code: / Full-time Part-time
Name and Title of Supervisor: / Your Job Title:
Describe your work:
Reason for Leaving / May we contact this employer?
Yes No
Company Name: / Telephone with area code
Street Address: / Employed—(Month and year)
Fromto
City, State, Zip Code: / Full-time Part-time
Name and Title of Supervisor: / Your Job Title:
Describe your work:
Reason for Leaving: / May we contact this employer?
Yes No
Company Name: / Telephone with area code
Street Address: / Employed—(Month and year)
Fromto
City, State, Zip Code: / Full-time Part-time
Name and Title of Supervisor: / Your Job Title:
Describe your work:
Reason for Leaving: / May we contact this employer?
Yes No
Have you ever been terminated from a previous employer? Yes No If so, state the name and address of company, date of termination, and reason for termination (do not include lay-off or staff reduction).

REFERENCES—Pleaseprovide the name, address and phone number of three references who are not related to you and are not previous employers.

Name / Phone Number
With area code
Address, City, State and Zip / Relationship
Name / Phone Number
With area code
Address, City, State and Zip / Relationship
Name / Phone Number
With area code
Address, City, State and Zip / Relationship

CONVICTION INFORMATION

The City of St. Paul Park conducts criminal history background checks on all regular full-time or part-time employees and other positions that work with children or vulnerable adults. I understand that criminal history checks may be conducted (after I have been selected for an interview, in the case of non-public safety positions) and that a conviction of a crime related to this position may result in my being rejected for this job opening. I also understand it is my responsibility to notify the City of St. Paul Park in writing of any changes to information reported in this application for employment.

DRUG & ALCOHOL TESTING

I, the undersigned, understand that at any time before or during employment I may be subject to drug and alcohol screening. I further understand that refusing to supply the required sample or producing a confirmed positive drug or alcohol test that indicate presence of illegal drugs or alcohol may result in the rejection of my application or termination of employment.
I certify that all information I have provided in this application for employment is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or if employed, will be grounds for dismissal, regardless of length of employment or when the misrepresentation or omission is discovered.
I acknowledge that I have received a copy of the job description summary for the position(s) for which I am applying.
With my signature below, I am providing the City of St. Paul Park authorization to verify all information I provided within this application packet, including contacting current or previous employers. However, I understand that if, in the Employment Experience section I have answered “No” to the question, “May we contact your current employer””, contact with my current employer will not be made without specific authorization.
I further understand that criminal history checks may be conducted (after I have been selected for an interview, in the case of non-public safety positions) and that a conviction of crime related to this position may result in my being rejected for this job opening. I also understand it is my responsibility to notify the City of St. Paul Park in writing of any changes to information reported in this application for employment.
Signature:______Date:______

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