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Steps

1. Instructions and Contact Information(current) This section is complete This section is incomplete
2. Education This section is complete This section is incomplete
3. Background Information This section is complete This section is incomplete
4. Work Record This section is complete This section is incomplete
5. Driving Record This section is complete This section is incomplete
6. Personal References This section is complete This section is incomplete
7. City of El Reno Application Certification This section is complete This section is incomplete

Instructions and Contact Information

City of El Reno Employment Application Instructions
Read each section of the application carefully; answer each question fully and truthfully leaving no question blank. You may place N/A in the blank if the question does not apply to you or your specific qualifications. It is important that your application be as complete as possible, you may provide additional information or resume with your completed application.
This application does not constitute an employment agreement between the City of El Reno and a prospective employee. The information obtained through the application will be used to complete reference checks and to gain background information, by signing the application you are giving the City of El Reno and its agents permission to perform said background checks.
The City of El Reno offers equal employment opportunities to all persons without regard for race, color, religion, age, marital or Veterans’ status, sex, national origin disability, or any other legally protected status.
What position are you applying for?*
Contact Information
First Name*
Middle Inital*
Last Name*
Email Address*
Address
City
State
Zip Code
Phone Number*
Message or Cell Phone Number
Social Security Number
Date of Birth
Are you over the age of 18?
1. Yes
2. No
Do you have legal right to work in the United States?
1. Yes
2. No
No; If employed can you provide proper documentation?
1. Yes
2. No
How soon could you start work?
Type of Employment:
1. Full Time
2. Part Time
1. Temporary
Rate of pay expected
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Background Information

Have you applied with the City of El Reno before?
1. Yes
1. No
If yes, when?
Have you worked for the City of El Reno before?
1. Yes
1. No
If yes, when?
Are you related to any member of Council or anyone employed at the City of El Reno?
1. Yes
1. No
If yes, name and relationship
Have you ever been convicted of or pled guilty or “no contest” to a felony?
1. Yes
1. No
If yes, please give the following information, in what state did the offense occur?
If yes, please give the following information, in what state did the offense occur?
Note: Conviction of a felony does not automatically disqualify an applicant for employment.
Resume Upload
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Work Record

Are you currently employed?
1. Yes
1. No
If so, why do you desire to make a change?
1. Name of most recent employer:
Street Address
City
State / Zip
Name of supervisor
Phone number
Dates of Employment - from
To
May we contact this employer?
1. Yes
2. No
Job title & duties
Starting pay rate
Ending pay rate
Reason for leaving?
2. Name and address of prior employer:
Street address
City
State / Zip
Name of supervisor
Phone number
Dates of employment - from
To
May we contact this employer
1. Yes
2. No
Job title & duties
Starting pay rate
Ending pay rate
Reason for leaving
3. Name and Address of prior Employer:
Street address
City
State / Zip
Name of supervisor
Phone number
Job title & duties
Starting pay rate
Ending pay rate
Reason for leaving
Have you ever been terminated from a position?
1. Yes
1. No
If Yes, please give a brief explanation
Please fully explain any gaps in employment history
Please indicate any actual experience, special training, or special license(s) and qualifications that you have that you feel are relevant to the position for which you are applying:
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Driving Record

Do you have a valid State Driver’s License?
1. Yes
1. No
No; List the class, restrictions, License number, and date of expiration
Have you been cited for any moving violation within the past five years?
1. Yes
1. No
If yes, in what state(s), place(s), and what was the resolution of the citation?
The City of El Reno may request an applicant to furnish a recent copy of their driving record. If so, you can obtain this record at the El Reno Tag Agency located at 120 S. Rock Island. If you do not have a Driver’s License please contact the Human Resources Department to inquirer as to whether it is a requirement of the position for which you are applying
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Personal References

Name
Occupation
Phone Number
Number of years knows
Name
Occupation
Phone number
Number of years known
Name
Occupation
Phone number
Number of years known
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City of El Reno Application Certification

(Please read the following certification carefully before signing)
I CERTIFY THAT THE INFORMATION GIVEN BY ME IN THIS APPLICATION IS TRUE IN ALL RESPECTS, AND I AGREE THAT IF THE INFORMATION GIVEN IS FOUND TO BE FALSE IN ANY WAY, IT SHALL BE CONSIDERED SUFFICIENT REASON FOR DENIAL OF EMPLOYMENT OR DISCHARGE. I authorize the use of any information in this application to verify my statements, and except as indicated above, I authorize the past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous education or employment record. I consent to such investigations as the City of El Reno may make regarding driving records, law enforcement records, credit reports and my general background. I further understand that all applicable portions of this application must be completed or I will be ineligible for consideration for which I am applying.
I understand that nothing contained in this employment application or in the granting of an interview for a position of employment is intended to create an employment contract between the City of El Reno and myself for employment or for the providing of any benefits. No promises regarding employment have been made to me, and I understand that no promise or guarantee of employment for any specific length of time or under any specified circumstances shall be binding upon the City of El Reno unless made in writing by or with the express written consent and authorization of the City Manager. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and for any reason and that, the City of El Reno retains the same right. I understand that employment with the City of El Reno is at-will employment.
I understand that, depending on the position applied for, prior to being offered with the City of El Reno I may be requested to take an examination pertaining to skills or equipment operation. In the event I have a physical or mental condition, which will affect my ability to take the test, I will so inform the City of El Reno prior to the administration of the test so that a reasonable accommodation can be made. Requested accommodations may include accessible testing sites, modified testing conditions, and accessible testing formats. The City of El Reno reserves the right to require medical documentation concerning the need for accommodation.
I understand that, if a conditional offer of employment is made, the City of El Reno may require me to pass a medical exam prior to the commencement of work and as a condition of employment. I also understand that drug and/or alcohol tests are a condition of employment and that refusal to submit to such tests when asked by the City of El Reno shall be considered sufficient reason for denial of employment. I understand that if employed, the policies and rules which are issued by the City of El Reno are not conditions of employment and that the City of El Reno may revise policies and procedures, in whole or in part, unilaterally at any time.
IMPORTANT: IF YOU DO NOT UNDERSTAND OR IF YOU DISAGREE WITH ANY PORTION OF THE ABOVE CERTIFICATION, DO NOT SIGN BEFORE DISCUSSING WITH THE HUMAN RESOURCES DIRECTOR
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Digital Application for Employment

Steps

Instructions and Contact Information

Education

Background Information

Work Record

Driving Record

Personal References

City of El Reno Application Certification

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