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Directions: please answer each question fully and accurately. No action will be taken on this application until you have answered all
questions. Resumes and cover letters are not substitutes for the information
requested on this application but will be accepted as supplemental materials.
(Proof of US Citizenship or immigration status required to eligible for hire)
List current or most recent first, including military service assignments
Applicants for 911 Dispatcher must be at least 18 years old
Applicants for Law Enforcement must be at least 21 years old
Please summarize your interest in working for the City of Vermillion. Additionally, tell us about your special skills, abilities,
accomplishments, or military service that most qualify you for the position for which you are applying.
Please provide three school, work, or personal references not related to you
I hereby certify that the information given by me is true and complete to the best of my knowledge and belief. I further authorize investigation of all statements I
have made. Misrepresentations, falsification, or omission of facts called for in this application or in the interview process is cause for cancellation of this application
or termination of employment.
I authorize the City of Vermillion, its officers, agents, and employees to conduct a background investigation (including criminal) prior to making a decision regarding
employment. I release and hold harmless the City of Vermillion, its officers, agents, and employees, and the person providing the information from any liability
related to the performance or result of this check.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, initial and ongoing employment with the City of Vermillion is of an “at will”
nature, which means that the employee may resign at any time and the employer may discharge an employee at any time with or without cause. It is further
understood that this relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically
acknowledges such change in writing.
I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current or past
employer, and organizations to provide relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal
liability in making such statements.
I understand that if I am extended a conditional offer of employment, it may be conditioned upon my successfully passing a complete pre-employment physical
examination. I give my consent to any pre-employment or post-employment health screenings, physical limitations testing, examinations, and/or any other
requirements of the City of Vermillion if a conditional offer of employment has been given. I consent to the release of any or all medical information as may be
deemed necessary to judge my capability to do the work for which I am applying. We advise you not to resign or change your current employment status until you
are advised that you have successfully completed the health assessment. I understand that I may be required to successfully pass an alcohol and drug screening
examination. I hereby consent to a pre and/or post-employment alcohol/drug screen as a condition of employment, if required.
Finally, I understand that this application does not constitute a contract or guarantee of employment, or if employed, does not bind either party to a specific period
I have applied with the City of Vermillion for employment and I desire that they be fully advised of my record with former employers and schools I have attended. I,
therefore, give my permission and request that former employers and prior schools attended furnish any and all requested information and records to the City of
Vermillion on their request for references in regard to the position for which I have applied. In addition, I hereby release all involved parties from any and all liability
of damages for requesting or providing the reference information.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
The City of Vermillion provides equal opportunity for all residents, applicants, and employees as it pertains to the provision of services and employment opportunities in order to ensure that
there will be no discrimination against any person on the basis of race, color, religion, sex, age, gender identity and expression, national origin, ancestry, political affiliation, or any other
basis prohibited by state or federal law. The City of Vermillion is prepared to make reasonable accommodations for applicants with a disability. If called for an interview, please advise the
person calling of any accommodations that you may need.
The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race, ethnicity, and sex of applicants on the basis of visual observation or surname.
This field is not part of the form submission.
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