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Office of Human Resources
City of Sherwood
2199 E Kiehl Avenue. Sherwood, AR 72120
Phone: 501-833-3703, Fax: 501-392-0087
hrinfo@cityofsherwood.net
Application for Employment
The City of Sherwood is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.”
Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the City of Sherwood. Please inform the personnel representative if you need assistance completing any forms or to otherwise participate in the application process.
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General Information

Full Name (Please include first, middle, and last name).*
Today's Date*
Today's Date
Address*
City*
State*
Zip Code*
Contact Number*
Email Address
Are you legally authorized to work in the United States?*
1. Yes
1. No
Are you at least 18 years of age? *
1. Yes
1. No- You may be required to submit further information).
Are you related to anyone working for the City of Sherwood?*
1. Yes
1. No
If yes, please state name(s)
How were you referred to the City of Sherwood*
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Position Information

Salary Range Desired*
Type of Work Desired
1. Full-Time
1. Part-Time
1. Seasonal
Please list the position(s) for which you are applying.
Position 1*
Position 2
Position 3
Position 4
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Educational History

High School or G.E.D. Equivalent
School Name & Location
Highest Grade Completed
College or University
School Name & Location
Did you earn a degree?
1. Yes
1. No
What degree did you earn?
Vocational or Trade School
Highest Grade Completed
Course of Study or Major
Graduate School
School Name & Location
Did you earn a degree?
1. Yes
1. No
What degree did you earn?
Other (Including Military Training)
School Name & Location
Highest Grade Completed
Course of Study or Major
List any work-related certifications or licenses you currently possess.
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Background Information

Have you ever been discharged, suspended, or asked to resign from any position?*
1. Yes
1. No
If yes, please explain.
For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any of the organizations you have listed?
1. Yes
1. No
If yes, please specify name(s).
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Professional References

List three professional references (other than those listed as current/former supervisor(s) that we may contact.
Name
Phone Number
Email Address
Type of Acquaintance
Name
Phone Number
Email Address
Type of Acquaintance
Name
Phone Number
Email Address
Type of Acquaintance
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Employment History- Please state your last 3 employers, starting with the most recent one.

Current Employer*
Address
Position*
Pay Rate*
Primary Responsibilities*
Phone Number
Employment Dates*
Employment Dates Start Date
—
Employment Dates End Date
Reason for Leaving*
Supervisor's Name
May We Contact?*
1. Yes
1. No
Previous Employer
Address
Position
Pay Rate
Primary Responsibilities
Phone Number
Employment Dates
Employment Dates Start Date
—
Employment Dates End Date
Reason for Leaving
Supervisor's Name
May We Contact?
1. Yes
1. No
Previous Employer
Address
Position
Pay Rate
Primary Responsibilities
Phone Number
Employment Dates
Employment Dates Start Date
—
Employment Dates End Date
Reason for Leaving
Supervisor's Name
May We Contact?
1. Yes
1. No
Upload Resume
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Additional Comments

Please comment on how your prior education and experiences qualify you for the type of employment you are seeking. Detail any past responsibilities and achievements. Note any special coursework, honors, activities, special projects or any other data that will assist us in considering your application for employment.
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Authorization

I understand, where permissible under applicable state and local law, I may be subject to pre– employment drug testing after receiving a conditional offer of employment, and must receive a negative result for illegal drugs before being permitted to commence work with the City of Sherwood.
By checking this box, I authorize my initials.
1. Agreement
I understand, where permissible under applicable state and local law, I may be subject to pre– employment Medical examinations after receiving a conditional offer of employment, and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with the City of Sherwood.
By checking this box, I authorize my initials.
1. Agreement
I hereby certify that the information given by me is true in all respects. I authorize the City of Sherwood and its representatives to contact my prior employers and all others for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other person named on this application to provide any information or transcripts requested.
By checking this box, I authorize my initials.
1. Agreement
I certify, under penalty of perjury, that all the above information is true and complete, and I understand that any falsification or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time lapse before discovery.
By checking this box, I authorize my initials.
1. Agreement
Signature*
1. Signature
Checking the signature box is evidence that I have read and agree with the above statements and all pages included in this application for employment.
Date*
Date

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Application for Employment

Steps

Step One

General Information

Position Information

Educational History

Background Information

Professional References

Employment History- Please state your last 3 employers, starting with the most recent one.

Additional Comments

Authorization

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