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r<c4clvtu <br />T MAR- 0 7 2016 2"D <br />IV Office Use Only <br />1 'I- 1' ent <br />Date Received: <br />EN HILLS Application O 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. <br />Please print neatly in ink or use a typewriter. <br />General Information PAP,Position Applying For: Sy L t " ` P, i o t E o N WC) Z K C <br />Job Status Desired: Full-Time <br />np <br />Part-Time Temporary_ 4,Seasonal <br />Date Available to Start: 1M v\' I V` X n 1 1 a\v'" <br />Last Name: First Name:M.L: Email Address <br />h Doic. <br />Street Address: Ci State: Zip: Home Phone No.: Cell Phone No.: <br />i\ ' .v.,•c w n ti L Q a r.l i t Lt< 1`` 5 5`1•Z 51-QC`-`7 <br />Are you under 18 years of age? Yes N <br />Are you willing to work overtime if required? Ye No <br />Do you have authorization to work in the United States? <br />Education/Training <br />How many years of education have you had? 1-12 13 14 15 16 17 18 19 20+ <br />Diploma,Degree,Certificate Major <br />School Name&Address of Credits Earned <br />High School/GED: \flC; L6 V RoC of f i o t ti 9 l I t' IV\ <br />College or University: <br />College or University: <br />L'IouOrUj <br />Graduate School: <br />Technical: <br />Technical: <br />City of Arden Hills * 1245 West Highway 96,Arden Hills, MN 55112 *651.792.7800