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RECEIVED Lq - ()c3 aN <br />Office use only <br />MAR 172016 G`R Date Received: <br />EN HILLS Application Q Eim tovwent Interview Date: <br />OtArC Mils 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 />mcn 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 />accause 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 dills. 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 appymg. <br />Please print neatly in ink or use a typewriter. <br />General Information <br />l <br />Position Applying For: eaSc)Y) f f a-,-mck 1( Ow Imo/ <br />Job Status Desired: Full-Time Part-Time Temporary_Seasonal <br />Date Available to Start: 1 /ZC P C. <br />Last Name: First Name: MJ.: Email Address <br />Street Address: City: State: Zip: Home Phone No.: <br />f <br />ell Phone No.: <br />sZ_`% Cn Avg,. A(ILP u;il5 f 5511 L C,5 1717-W*31z '1'-G,4h <br />Are you under 18 years of age? Yes <br />Are you willing to work overtime if required? Ye No <br />Do you have authorization to work in the United States? l S <br />Education/Training <br />How many years of education have you had? 1-12 14 15 16 17 18 19 20+ <br />Diploma,Degree,Certificate <br />School Name&Address of Credits Earned Major <br />High School/GED: 7:;7)03 _ St; ,,linsn Vl-r, M N Cock.>k CJJIh <br />AeAoov <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