Employment Application - City Of Newport
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9CITY OF NEWPORT
169 SW Coast Highway, Newport, Oregon 97365
Employment Application
The City of Newport considers applicants for all positions without regard to race, color, religion, sex, national
origin, disability, marital status, sexual orientation, or any other legally protected status.
Position Applied for:
Requisition Number:
APPLICANT INFORMATION
Last Name
First
M.I.
Date
Street Address
Apartment/Unit #
Mailing
City
State
ZIP
Phone
E-mail Address
Date Available
Are you lawfully authorized to work in the U.S.?
YES ☐
NO ☐
Have you ever worked for the City of Newport?
YES ☐
NO ☐
If so, when?
Are you a Veteran? YES ☐
NO ☐
If yes, fill out attached Veterans Preference Form & Transferable Skills Form
Do you have a valid driver’s license? YES ☐
NO ☐
CDL Yes
No
Class:
Endorsements:
THIS SECTION MUST BE COMPLETED BY LAW ENFORCEMENT APPLICANTS ONLY
Are you a citizen of the United States? YES ☐
NO ☐
Have you ever been convicted of a crime? YES ☐
NO ☐
If yes, explain
EDUCATION
High School
Address
Did you graduate? YES ☐
NO ☐
Degree
College
Address
Did you graduate? YES ☐
NO ☐
Degree
Other
Address
Did you complete certification? YES ☐
NO ☐
Certificate
REFERENCES
Please list three professional references.
Full Name
Relationship
Company
Phone
(
)
Full Name
Relationship
Company
Phone
(
)
Full Name
Relationship
Company
Phone
(
)
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Parent category: Business