Employment Application - City Of Newport Page 2
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9PREVIOUS EMPLOYMENT
(Please provide all previous employment for the last 10 years)
Company
Phone
(
)
Address
Supervisor
Job Title
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES ☐
NO ☐
Company
Phone
(
)
Address
Supervisor
Job Title
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES ☐
NO ☐
Company
Phone
(
)
Address
Supervisor
Job Title
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES ☐
NO ☐
YES
DISCLAIMER AND SIGNATURE
NO
By my signature/inserting my name below and submitting electronically, I certify that all answers and statements on the application are true and
complete to the best of my knowledge. I understand that should the City learn, at any time, of any untruthful or misleading answers, my application
may be rejected, my name removed from consideration, or my employment with the City terminated.
Signature
D
a
NOTE: Applications and/or resumes cannot be returned. The City of Newport cannot make copies. Please make necessary
t
copies before submitting. A new application is required for each position that you wish to be considered for.
e
Successful completion of a pre-employment background check is required for all positions. Pre-employment substance
screening may be required. An employment offer may be contingent on passing a physical examination for some position
classifications. American with Disabilities Act accommodations will be provided upon request.
The City of Newport is an Equal Opportunity and Veterans’ Preference employer. All qualified applicants will receive
consideration for employment without regard to race, color, religion, sex, national origin, age, mental or physical
disability, marital status, protected Veterans’ status, or any other legally protected class under state, federal, or local law.
In compliance with federal law, all person hired will be required to verify identity and eligibility to work in the United States
and to complete the required employment verification document form upon hire.
A presidential Executive order and subsequent Federal Acquisition Regulation (FAR) rule required federal contractors to use
E-Verify to electronically verify the employment eligibility of employees working under covered federal contracts. The order
and the rule reinforce Federal government policy that the Federal government does business only with organizations that
have a legal workforce.
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