Official Website of the City of Ketchikan, Alaska - City Job Application

City Job Application

Dear Applicant:

Thank you for your interest in the City of Ketchikan/KPU's employment opportunities. Your application will be considered with others in competition for the position. It is the policy of the City/KPU to provide equal opportunity in employment. This policy prohibits discrimination on the basis of race, color, religion, sex, age, national origin, creed, physical or mental disability, marital or veteran status or citizenship status of a person otherwise authorized to work in the United States, or any other basis prohibited by statute. This policy applies to all phases of full, part-time and temporary employment.

The information that you supply will be used to determine how well you meet the qualifications. Be as specific as possible. You are encouraged to include a resume but the resume cannot be substituted for a completed application, which includes employment history. Resumes may be submitted to our HR department at cityjobs@ketchikan.gov with the title of the position for which you are applying in the subject line.

CONTACT INFORMATION

*First Name

*Last Name

*Email

*Phone Number (Primary and Secondary)

Mailing Address Street

City

State

Zip

*Position Applying For

Days/Hours Available for Work (Please check all that apply)

Monday - Friday

Saturday

Sunday

7 AM - 5 PM

3 PM - 12 AM

12 AM - 8 AM

Date Available?

*Alaska Resident?

YES

NO

If yes you are an Alaska resident, since when?

How were you informed of this opening?

Please answer yes or no to the following questions. If you answer "yes" to 7, 8 or 9 or if you answer "no" to 1, 3 or 10: you must provide an explanation, or your application will not be considered. Incomplete applications will also NOT be considered.

*1. Do you have a valid Alaska driver’s license?

YES

NO

*Do you have a CDL license?

YES

NO

If you answered yes to the previous question and a CDL is required, please list the CDL type and number:

*2. Do you have any needs that might necessitate accommodation in the application/interview process?

YES

NO

*3. Are you a U.S. Citizen or legally eligible to accept employment in the U.S? We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor work visas.

YES

NO

*4. Have you ever been employed by the City of Ketchikan or KPU?

YES

NO

If you answered yes to #4, please provide the position, department, and dates below:

*5. Are you related through blood, marriage or adoption to anyone currently working for the City or KPU?

YES

NO

If you answered yes to 5, please provide their name and your relationship to them.

*6. Are you related to the Mayor, a member of the City Council, or the City Manager? These relationships ARE DISQUALIFYING.

YES

NO

*7. Have you ever been discharged or asked to resign? If yes, you must provide an explanation.

YES

NO

*8. Have you ever been convicted of a misdemeanor? If yes, you must provide an explanation.

YES

NO

Explanation of Misdemeanor

*9. Have you ever been convicted of a felony? Conviction records do not automatically disqualify applicants. Certain positions require criminal background checks. If you answer yes, you must provide an explanation.

YES

NO

Explanation of Felony

*10. Are you of legal age to hold employment in the United States?

YES

NO

EDUCATION

High School or GED: Include name/address of school.

Accredited College or University: Include name/address of school, degree earned, dates attended, and major course of study.

Graduate School: Include name/address of school, degree earned, dates attended, and major course of study.

Technical School: Include name/address of school, degree earned, dates attended, and major course of study.

List any correspondence courses, workshops, training, or certifications that might relate to this position and are not reflected in the preceding course work.

Professional Certifications, Registrations or Licences: Include title, issuing agency, registration number, date issued, and expiration date for each.

List Professional Organizations where you are a member and any offices you may have held: Include organization name, office, and dates held for each.

EMPLOYMENT HISTORY

Job 1 - Job Title

Job 1 - Employer Name & Address

Job 1 - Supervisor’s Name and Title

Job 1 - Supervisor’s Phone Number

Job 1 - Dates Employed (From: mm/dd/yyyy - To: mm/dd/yyyy)

Job 1 - Reason for Leaving

Job 1 - Starting Salary

Job 1 - Ending Salary

Job 1 - May we contact this employer?

YES

NO

Job 1 - Hours worked per week?

Job 1 - Major Duties and Responsibilities

Job 1 - Number of employees you supervised

If you supervised, did you have the authority to:

Recruit

Interview

Hire

Evaluate

Discipline

Discharge

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JOB 2

Job 2 - Job Title

Job 2 - Employer Name and Address

Job 2 - Dates Employed (From: mm/dd/yyyy - To: mm/dd/yyyy)

Job 2 - Supervisor’s Name & Title

Job 2 - Supervisor's Contact Number

Job 2 - May we contact this employer?

YES

NO

Job 2 - Reason for Leaving

Job 2 - Starting Salary

Job 2 - Ending Salary

Job 2 - Hours worked per week

Job 2 - Major Duties and Responsibilities

Job 2 - Number of Employees You Supervised

If you supervised, did you have the authority to:

Recruit

Interview

Hire

Evaluate

Discipline

Discharge

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Job 3 - Job Title

Job 3 - Employer Name and Address

Job 3 - Dates Employed (From: mm/dd/yyyy - To: mm/dd/yyyy)

Job 3 - Supervisor’s Name and Title

Job 3 - Supervisor’s Phone Number

Job 3 - May We Contact This Employer?

Job 3 - Reason for Leaving

Job 3 - Starting Salary

Job 3 - Ending Salary

Job 3 - Hours worked per week?

Job 3 - Major Duties and Responsibilities

Job 3 - Number of employees you supervised:

If you supervised, did you have the authority to:

Recruit

Interview

Hire

Evaluate

Discipline

Discharge

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Job 4 - Job Title

Job 4 - Date Employed (From: mm/dd/yyyy - To: mm/dd/yyyy)

Job 4 - Employer Name and Address

Job 4 - Supervisor’s Name and Title

Job 4 - Supervisor’s Phone Number

Job 4 - Reason for Leaving

Job 4 - Starting Salary

Job 4 - Ending Salary

Job 4 - May we contact this employer?

YES

NO

Job 4 - Hours worked per week?

Job 4 - Major Duties and Responsibilities

Job 4 - Number of employees you supervised

If you supervised, did you have the authority to:

Recruit

Interview

Hire

Evaluate

Discipline

Discharge

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CERTIFICATION AND RELEASE

In connection with this application I hereby authorize any and all former employers, organizations where I have volunteered and references named to release to the City/KPU and its agents any and all information both public and private. I understand that the City/KPU will use this information to determine in part my fitness for the position I am applying for. This authorization expires one year from the date signed.

I certify that the answers on this application are true and correct to the best of my knowledge. I understand that any false or misleading information provided, any omission or concealment of facts, could disqualify me from consideration for employment, cause any offers of employment to be withdrawn and constitutes grounds for immediate dismissal should I become employed by the City or KPU.

I understand, acknowledge and agree that no offer of employment is valid or binding until formal approval by the City Manager and written offers are signed by all parties. The City or KPU shall not be liable for any reliance on any oral or written offers made to me without proper authorization. I also understand that applications, resumes and attachments are public records and therefore can be made available for inspection and copying according to City policies.

I hereby release the City/KPU and all former employers or their agents, volunteer organizations and references, for any and all liability of whatever nature incurred by reason of requesting or providing such information.

*NOTICE: Read the preceding statements carefully before signing. By inputting your name in the box to the right you are agreeing to all the terms in the preceding statement just as if you had signed your name.

You are encouraged to include a resume but the resume cannot be substituted for a completed application, which includes employment history. Please account for all employment during the past 10 years, listing current or most recent employment first. If you have more employment history than will fit in the 4 sections provided in this form, please feel free to e-mail additional experience to our HR department at kellyb@city.ketchikan.ak.us with the job title in the subject line.

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