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RECEIVED <br /> Office Use only <br /> MAR 2 7 2017 <br /> Date Received: <br /> DRVEN HILLS Application forCW1y Interview Date: <br /> l 1�S Interview Time: <br /> We welcome as an you applicant for employment with the City of Arden Hills, Minnesota. Your application will be considered with others in competition for the position in <br /> Y PP <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 1 <br /> Position Applying For: <br /> Job Status Desired: Full-Time Part-Time Temporary Seasonal <br /> Date Available to Start: E 1�/ ( I <br /> Last Name: First Name: M:T.: Email Address: <br /> Street Address: City: County: Stater zip: Home Phone No.: <br /> ( -ll Phone No.: <br /> Are you under 18 years of age? Yes \N <br /> Are you willing to work overtime if required? Yes 'No <br /> Are you a United States Citizen OR, if not, do you permission to work in this county? Yes No <br /> Education/Training <br /> How many years of education have you had? 1-12 13 14 15 Cl 17 18 19 20+ <br /> Diploma,Degree,Certificate Major <br /> School Name&Address of Credits Earned <br /> High School/GED: vr' ov- ( <br /> College or University: �C 1Q IOrO�C G`r�S ,". — �� e <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 />