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Job Application

  1. 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.

  2. Applicant Information

  3. Skills & Qualifications

  4. Education

  5. Employment History

    List current or most recent first, including military service assignments

  6. 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.

  7. References

    Please provide three school, work, or personal references not related to you

  8. While your application is the primary tool used to evaluate your job qualifications, resumes, applicable certifications or other applications materials you may wish to provide will also be considered.

  9. Applicant Statement

  10. Please Read and Sign Below

    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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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 of employment.

  16. Authorization for Reference Requests*

    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.

  17. Electronic Signature Agreement*

    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.

  18. 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.

  19. Applicant Survey (Voluntary)

  20. How did you learn about this position?

  21. Leave This Blank:

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