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Office Use Only <br /> Date Received: -SW/I 7 <br /> ,A EN HILLS Application for Employment Interview Date: Y37/I 7 <br /> D Interview Time: tpM <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-tune 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 laity or 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. RECEIVED <br /> Please print neatly in ink or use a typewriter. <br /> MAR 2 7 2017 <br /> General Information <br /> Position Applying For: SrJ�JhQ r• �\ atymtT CITY OF ARDEN HILLS <br /> Job Status Desired: Full-Time Part-Time Temporary Seasonal <br /> Date Available to Start: UA2, \rL� <br /> Last Name First Name Nf.r>: 1�lnxail Address <br /> Street Address. (i. ountY: State:> ZY i »Home :1'bu e l o <br /> Cell Phone No.: <br /> Are you under 18 years of age? es No <br /> Are you willing to work overtime if required? No <br /> Are you a United States Citizen OR,if not,do you have permission to work in this county? e No <br /> Education/Training <br /> How many years of education have you had? -12 13 14 15 16 17 18 19 20+ <br /> D�pIQtti... ©egree,CertiliCatt Alajtsr <br /> School Na�u: fir Ad{tress of Credits Earned <br /> HighSchool/GED: `Ni1t +/arn 6v, ft" wit, <br /> �0 V\tw N\ h tia <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 <br />