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Employment Application

  1. City of Ashland
    601 Main Street W
    Ashland, WI 54806
    Phone: 715-682-7071
    Fax: 715-682-7048

    The City of Ashland does not discriminate on the basis or race, color, national origin, sex, gender identity, sexual orientation, religion, age, marital status, family/parental status, political beliefs, or disability in employment or provision of services, programs or activities.

  2. Education

  3. If hired, can you provide documents required to establish your eligibility to work in the United States?

  4. Do you have a valid driver's license?

  5. Have you ever been convicted of, or pled guilty or not contest to, a crime other than a minor traffic violation?

  6. This information will not necessarily disqualify you from employment but false or misleading information will. Factors such as age and time of offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

  7. Previous Employment

    Please list the most recent employer first.

  8. Starting salary to ending salary.

  9. Please be specific.

  10. May we contact this employer?

  11. Starting salary to ending salary.

  12. Please be specific.

  13. May we contact this employer?

  14. References

    Please list two references other than relatives and previous employers.

  15. Do you have any relatives who currently work for the City of Ashland?

  16. Please read this statement carefully before signing below:

    I understand that employment with the City of Ashland is at-will, meaning that I or the City of Ashland may terminate my employment at any time, or for any reason consistent with applicable union contracts or state and federal law.

    I authorize the City of Ashland to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the City of Ashland and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.

    I understand the City of Ashland may require the successful completion of a drug and/or alcohol test as a condition of employment.

    I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.

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  18. This field is not part of the form submission.