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City of Loganville

info@loganville-ga.gov

4385 Pecan Street, Loganville, GA, 30052, US

City of Loganville

Application For Employment

The City of Loganville considers applications for all positions without regard to race, color, religion, gender, national origin, age or disability, sexual orientation, citizenship status or any other legally protected status.  Fill in all items thoroughly.  Your answers determined whether you will be considered for this position.  We cannot accept incomplete, undated or unsigned applications.  Applications will only be accepted for posted positions. 

The City of Loganville is a Drug Free Workplace!

Personal Data

Are you legally eligible to work in the United States?


Have you ever been employed by the City of Loganville?

If YES, when and where?


Are you related by blood or marriage to any person now employed by the City of Loganville?

If yes, give name, relation and department.

Do you have a Valid Driver’s License?

Note:  Possession of a valid driver’s license is not an essential function of all employment offered by the City of Loganville.  Answering “No” to this question is not necessarily a bar to consideration for employment.   

**Please attach a copy of your driver’s license to this application.

Have you had any traffic violations in the past 3 years?


Have you ever been convicted of a crime, other than a minor traffic violation?

Note: Conviction will not necessarily disqualify an applicant from employment.

If yes, please explain:


Have you ever been discharged from employment because your work or conduct was not satisfactory?

If yes, please explain:

Education

Are you a high school graduate?  If yes, please list below:

If not a high school graduate, do you have a GED?

High School Information

Please Select All Grades Completed in High School

Business / Technical School Information

Please Select All Years Completed in Tech School

College Information

Please Select All Years Completed in College

Graduate School Information

Please Select All Years Completed in Graduate School

Employment Experience

List the positions that you have held, starting with your most recent one.  THIS SECTION MUST BE COMPLETED IN DETAIL.  You are encouraged to attach a resume if you wish, but reference to a resume in lieu of completing this section cannot be accepted.  Under “duties” describe your job in sufficient detail so that we can determine not only your tasks but the level of responsibility.  If you have had more jobs or wish to add more detail to the “duties” section, complete a separate sheet in the same format and attach. 

Please List Your Specific Job Duties

Please Describe Your Reason For Leaving

Please select one of the following if applicable


Please List Your Specific Job Duties

Please Describe Your Reason For Leaving

Please select one of the following if applicable


Please List Your Specific Job Duties

Please Describe Your Reason For Leaving

Please select one of the following if applicable


Please List Your Specific Job Duties

Please Describe Your Reason For Leaving

Please select one of the following if applicable


Please discribe any specialized training or apprenticeships or skills:

State any additional information you feel may be helpful to us in considering your application:

References

REFERENCES:  List three (3) persons, other than relatives, who have knowledge of your work experience:

APPLICANT’S CERTIFICATION AND AGREEMENT

I certify that the statements made by me on this application are to the best of my knowledge, true, complete and correct.  I understand that any misrepresentations or material omission of facts on this or any other document required by the City of Loganville, if employed, may be considered as constituting grounds for disciplinary action, including termination.  I further understand that any offer of employment is subject to successful completion of a drug screen and where necessary, other examinations and background investigations.  Having applied for employment with the City of Loganville, I do hereby agree and do give my consent that any person, firm or organization listed herein is authorized to furnish the City of Loganville with personal or referenced material concerning my character, past employment or any other information they so request and release them from any damages whatsoever for issuing same.   

I understand that this application is not, and is not intended to be a contract for employment, nor does this application obligate the City of Loganville in any way if I am offered employment.  I further understand that any employment offered to me is “at-will” and can be terminated by either party, with or without notice and with or without cause.   

May we contact your present employer?

Your must sign the certification and agreement (On the Last Page) to enable us to contact prior employers, through we may not contract your present employer. 

Background Check Information

I hereby authorize and empower any former or present employer, credit reporting agency, medical provider, hospital, company, or state agency to release any and all information about me requested by the City of Loganville as a condition of my being considered for employment and I release said provider and the City of Loganville from any liability whatsoever. This authorization shall survive my board employment and shall allow the City of Loganville to check said records and information at any time during my employment.
I hereby authorize the City of Loganville to receive any criminal history record information pertaining to me, which may be in the files of any state or local criminal justice agency in Georgia.

**Please attach a copy of your driver’s license to this application.