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t office use only Date Received: H,S Application for Employment Interview Date: Interview Time: We welcome you as an applicant for employment with the City of Arden Hills,Minnesota. Your application will be considered with others in comps for the position in 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 discximination because of race,color,sere,national origin,political affiliation,place of residence,marital status,sexual preference,status with regard to public assistsom or disability,as is 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 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 in conjunction with your possible employment by the City of Arden Hills. Please furnish us with complete information as outlined in this appliVouraged to attach any additional information or materials,which you believe qualify you for the position for which you are applying. Please print neatly in ink or use a typewriter. FEB 2 2 2016t%x_p General information e _City of Arden Hills Position Applying For0 Job Status Desired:Full-Time -- Part-Time Temporary Seasonal Date Available to Start: 5- 01 — )-01(90-0 1(9 Last Name: First Name: hLL: Email Address S%\A\,N\-N S AAr76 7 XP I)ru A/, e d J Street Address: State: Zip: Home Phone No.: Cell Phone Na: Are you under 18 years of age? Yes Are you willing to work overtime if required? kYes No Do you have authorization to work in the United States? tS EducatiowTraining How marry years of education have you had? 1-12 13 14 15 16 17 18 19 20+ Diploma,Degree,Certificate Major School Name&Address of Credits Earned High School/GED: r0 SCkCit1I SSf 12 College or University: Wt vV\ `Au9 C,t^ l College or University: Graduate School: Technical: Technical: City of Arden Hills*1245 West Highway 96,Arden Hills, MN 55112*651.792.7800