Basic Information
















Detailed Information

(check all that apply)



Are you eligible to work in the United States either because you are a U.S. citizen or have U.S. government persuasion to do so?


Note: If offered employment you will be required to provide documentation to verify employment eligibility. Failure to provide the requested documentation may result in a determination that the applicant is ineligable for employment in the United States.



Are you able to perform the job duties listed for the position you are applying for (with or without)an accomodation?






Have you ever been convicted of an offense against the law or are you now under charges for any offense against the law? (Omit non-moving traffic violations and any offense which was finally adjudicated in a Juvenile court under a Youth Offender Law).


Note: A conviction will not necessarily bar you from employment. Each conviction will be judged on its own merits with respect to time, circumstances and seriousness.

Work History

Describe your work history starting with your current job. Include military and volunteer experience. Failure to give complete information regarding each job held may result in your disqualification. Complete Address with Zip codes and telephone numbers for all employers are necessary. A resume may be attached only as additional information and will not be accepted in lieu of completion of this section.



Education


Give name, address and telephone number of three (3) references who are not related to you and are not previous employers.


Acceptable formats: .pdf, .doc, .docx, .txt

Agreement

APPLICANT'S CERTIFICATION AND AGREEMENT AUTHORIZATION TO RELEASE INFORMATION CONDITIONS OF EMPLOYMENT
I hereby declare the information provided by me in this application is true and complete, and I understand that misrepresentations, omissions of facts, or falsification of this information are grounds for refusal to hire, or if hired, termination.
I authorize any persons or organizations to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability for any damage which may result from furnishing such information to you.
I authorize you to request, receive and verify all information given in this application.
If I am employed by the City of Griffin, I agree to conform to the policies, rules and regulations of the government as set forth in the City of Griffin Personnel System, employee handbook, policies and ordinances; and acknowledge that these policies, rules and regulations may be changed, interpreted, withdrawn, or added to by the employer at any time, at the employer's sole option.
I further acknowledge that if I am employed by the employer, my employment will be at-will and may be terminated with or without cause at any time by me or by the employer. If required by City of Griffin for the position I am applying, I consent to undergo a physical examination, after I have been offered employment, as deemed necessary.
This application will remain active for three (3) months only.
Before an applicant can be selected for employment with the City of Griffin he/she must submit to a drug test. Should you be offered a job with the City of Griffin, your position may require random drug testing.

ALCOHOL AND CONTROL SUBSTANCE TESTING
As a condition of employment by the City of Griffin, you will be required to submit to a controlled substance screening test. Employees must, as a condition of employment, abide by our policy regarding the effects of drug use and the unlawful possession of controlled substances. Employees must report any conviction under a criminal drug statue for such violations. A report of the conviction must be made within five (5) days after the conviction. (This requirement is mandated by the Drug-Free Workplace Act of 1988). In order to be employed by the City of Griffin, you must successfully pass this screening test.

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