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i <br />Office Use Only <br />Date Received: <br />EN HILLS Application for Employment Interview Date: <br />Interview Time: <br />We welcome you as an applicant for employment with the City of Arden Hills,Minnesota Your application will be considered with others in competition for the position in <br />which you are interested It is the policy and intent of the City of Arden Hills to provide equal opportunity employment to all persons. This policy prohibits discrimination <br />because of race,color,sex,national origin,political affiliation,place of residence,marital status,sexual preference,status with regard to public assistance or disability,as is <br />consistent with the City's policy of hiring a well-qualified person so as to maintain the high standards of public service required of all City employees. This policy applies to all <br />phases of permanent and part-time employment. All information contained in or connected with this application will be considered personal and confidential and will be used only <br />in conjunction with your possible employment by the City of Arden Hills. Please furnish us with complete information as outlined in this application.You are encouraged to <br />attach any additional information or materials,which you believe qualify you for the position for which you are applying. RECEIVED <br />Please print neatly in ink or use a typewriter. <br />FEB 2 2 2016 <br />General Information <br />Sp Us4rr~ M J o kIb City of Arden HillsPositionApplyingFor: moi l'P'f C.h C 2 <br />Job Status Desired:Full-Time Part-Time Temporaryy Seasonal <br />Date Available to Start: XA4. , wu <br />Last Name: First Name:: M.I.: Email Address <br />C_ 1 <br />sem <br />Street Address: City: State: Zip: Home Phone No.: Cell Phone No.: <br />GE..'r 3 X51 l SS`s-3-7 13 <br />Are you under 18 years of age? Yes No <br />Are you willing to work overtime if required? No <br />Do you have authorization to work in the United States?NCS <br />Education/Training <br />How many years of education have you had? 12 13 14 15 16 17 18 19 20+ <br />Diploma,Degree,Certificate <br />Major <br />School Name&Address of Credits Earned <br />High School/GED: <br />ro'nc 1e w; VN <br />College or University: <br />College or University: <br />Graduate School: <br />Technical: <br />Technical: <br />City of Arden Hills* 1245 West Highway 96,Arden Hills, MN 55112"651.792.7800