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} <br /> Office>1 glC. GG IVED <br /> Date Received: "C tt,,.. <br /> EN HILLS Application for Employment interview Date: <br /> Interview Time: <br /> 'c t'kF . <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 <br /> Position Applying For: S'f1 r-f-w-c ?`Ngroun& r-S <br /> Job Status Desired: Full-Time Part-Time Temporary Seasonal <br /> Date Available to Start: It►np, 2D`-7 <br /> Last Name: First Name: M.I.: Email Address: <br /> Moh ler,hod 0 ran+ <br /> Street Address: City: Count : State: Zip: Home Phone No.: <br /> Cell Phone No.: <br /> Are you under 18 years of age? Yes <br /> Are you willing to work overtime if required? Y se No <br /> Are you a United States Citizen OR,if not,do you have permission to work in this county? AY es No <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: <br /> mw)& View 'Hit �6 Ir'e V0,v-*,W- PA. at,Nals t •D <br /> College or University: <br /> (/UCJ.- S2 Ur11 V�rs r^n es �w c> P.f` <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 <br />