Athol Employment Application Page 2

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MILITARY - Branch of Service:
Describe any military training received relevant to the position for which you are applying:
EDUCATION/TRAINING - Include Technical/Academic Achievements/Courses
Have you obtained a high school diploma or GED certificate?
Yes
No
School
Name & Location
Diploma/Degree
Subject Of Specialization
College/University
Specialized
Courses & Training
PROFESSIONAL & TECHNICAL INFORMATION - To Be Completed for Licensed/Registered Positions
Idaho Registration No.
Expiration Date
Certificate No.
Expiration Date
If not licensed in Idaho, have you applied?
Yes
No
If licensed in another state, list:
2 Years’ experience with operating heavy equipment (grader,
A Water Operator Level 1 or higher license is required, or be
obtained within 6 months of hire date.
loader, etc.) A CDL is not required but preferred.
OTHER SPECIAL SKILLS - List Other Specific Skills You Have to Offer for This Job Opening:
REFERENCES - Give the Names of Three Persons Not Related to You
Name
Address
Telephone
Occupation
The information on this application is true and accurate to the best of my knowledge.
Signature
Date
THE IDAHO DEPARTMENT OF LABOR DISTRIBUTES THIS FORM SOLELY FOR THE CONVENIENCE OF EMPLOYERS AND APPLICANTS, AND DISCLAIMS
ANY RESPONSIBILITY FOR THE MANNER IN WHICH THIS FORM IS COMPLETED OR USED IN THE HIRING PROCESS.
A full job description may be found on the city website:
Applications will be
th,
accepted through Friday, June 16
2017.
Please complete the city application and submit it with a cover letter and resume to: City of Athol PO
Box 249 Athol, ID 83801 or by email to cityclerk@cityofathol.us, or in person to Athol City Hall 30355
rd
N 3
St. Athol, ID 83801 Monday–Thursday 9am-4:30pm and Fridays 8:30am–12:30pm. You may call
Athol City Hall at 208-683-2101 or Mayor Wachter at 208-683-1133 with any questions.

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