Application for Employment Job Application APPLICATION FOR EMPLOYMENTCity of HannibalParks & Recreation Department320 BroadwayHannibal, MO 63401Phone 573 221-0154Fax 573 221-0707 Name * First Last * Last Email * Home Phone * Mobile Phone Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Position Applied For: * Employment Desired * Full-time Part-time Full- or Part- time Are you willing to work evenings or weekends if required? * Yes No If hired, what is the first date you would be available to work? * Have you ever been convicted of a felony or received a suspended imposition of sentence for a felony? * Yes No If so, please explain circumstances: Can you operate an automobile? * Yes No Do you have a CDL License? * Yes No Have you had any arrests, suspensions, or revocations on your driving record? * Yes No If so, please explain circumstances: EDUCATION High School * Name and Location of School * Year Diploma or GED Received * College/University Name Location of School Major Year Degree Received College/University Name Location of School Major Year Degree Received College/University Name Location of School Major Year Degree Received Other Training – Facility Name Location of Training Type of Training Received Year Training Completed Other Training – Facility Name Location of Training Type of Training Received Year Training Completed If education or training was received under a different last name, please give the name that appears on your school or training records: EMPLOYMENT HISTORY Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Please list job knowledge or abilities that will be useful for the position applied for: Please list professional or character references (no relatives): Name * Phone * Email Name * Phone * Email Name * Phone * Email Name * Phone * Email Additional Comments: Applicants are encouraged to submit a resume, work samples, and academic records if available: Drop a file here or click to upload Choose File Maximum upload size: 314.57MB I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that by signing this application, I will allow a check on background and references as indicated above. I also understand that if I am employed, any false statements on this application may result in dismissal. I authorize the City to make an investigation of any of the facts set forth in this application. By typing my name here, I certify that I am the applicant: * Date * CAPTCHA If you are human, leave this field blank. Submit
