VILLAGE OF CUYAHOGA HEIGHTS is an Equal Opportunity Employer and complies with Federal and State equal employment opportunity laws. Qualified applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, marital status, military status, disability or any other protected basis.
- Applicant Details
- Employment History
- Education/Training
- References
- Driver's/CDL License
- EEO
- Under 18 Yrs.
- Certification
Temporary
Part time
Email
Are you legally eligible for employment in the U.S.?
Applicant Details
Regular
Availability
Are you at least 18 years of age?
Are any of your relatives employed by {[CNAME]}?
Date available for work?
Last Name
Current Home Address
Phone #
How long at current address?
Have you previously been employed by {[CNAME]}?
City
If Yes, provide details, including original date of employment and reason for leaving.
Do you have an email?
Are there any hours, shifts or days you cannot or will not work?
First Name
State
How did you learn of this position?
Full time
If Yes, indicate the hours, shifts or days You cannot or will not work:
If "Yes", list name, department And relationship
Middle Name
Age
Any offer of employment by {[CNAME]} will be conditional upon your providing documentation required by law as evidence of personal identity and your authorization to work in the United States.
Employment Eligibility
ZIP
Will you work overtime if required?
Please List
ALL JOBS Since High School, Beginning With Your Present or Last Employer. A Following Section Asks Questions About Periods of Employment. Account For ALL Time Periods, Including UNEMPLOYMENT, SELF-EMPLOYMENT, and U.S. MILITARY SERVICE.
Click The "Add Employment History" Button, Enter Information And Click "Save" For Each.
Additional Inquiries Concerning Employment
need reasonable accommodations in order to perform the essential functions of this job.
If “Yes”, please explain.
If "Yes", please provide dates and what you were doing during that time.
Have you ever been discharged or asked to resign from any employment?
Have you ever experienced any periods of unemployment since high school?
Please explain any exceptions and reasons for not contacting.
Are you related by blood or marriage to any current village employee or elected official?
Do you cohabitate with any current village employee or elected official?
Employment History
Will you be able to meet the attendance requirements of the job you are applying for?
If “Yes”, identify name(s) and relevant dates.
Describe any accommodations you will need to adequately perform the essential functions of the position.
May we contact your present/previous employer?
In order to permit a check of your work and education records, should we be made aware of any change of name or assumed name that you previously used?
If "No", please explain.
Based on the job description of the position for which you are applying you:
If "Yes", please identify the name of the employee or elected official.
Date Discharged
Education and Training Experience
Rank And Duties
From
Are there any special skills or qualifications that you have that would benefit the Village with your employment? (Examples: Skilled Trades [Plumber, Carpenter, Electrician], Computer Skills)
Have you served in the US Armed Forces?
Military Information
If "Other", please explain
Type Of Discharge
Specialized Skills
Type of Job In Military
To
Branch Of Service
Other specialized skills or information you feel pertinent to the Job for which you are applying (Trades):
Enter any previous education and training experience below. Click the "Add Education/Training" Button, enter information and click "Save" For each. A minimum of one previous education or training must be listed below. Please do not put "See Resume".
List any medals, honors, or awards received
Please list three references who are not relatives or elected officials.
References
Do you have or can you get a valid driver’s license?
Do you have a valid CDL license?
Driver's/CDL License
Do you have access to car or a motorized vehicle?
Certain postions within the village may require use of a car or other motor vehicle. answer the following questions only if use of a
vehicle is required in the job for which you are applying.
List any equipment operated or other qualifications
Do you have or can you get liability insurance on such a vehicle?
CDL Class
CDL License #
Equal Employment Opportunity
Race/Ethnicity
Voluntary Information Only
Gender
Gender
Veteran Status
IMPORTANT—To ALL Applicants: To enable us to meet government reporting regulations, Village of Cuyahoha Heights requests you to complete this personal data form. Information will be used solely for government reporting purposes and will be detached and kept separate from your application.
Any information you choose to provide will not be considered by Village of Cuyahoha Heights for employment purposes and will be treated as confidential. Your voluntary cooperation is appreciated.
- Hispanic or Latino – A Person of Cuban, Mexican, Puerto Rican, South or Central America, or other Spanish Culture, Regardless of Race.
- White – A Person having origins in any of the original Peoples of Europe, The Middle East, or North Africa.
- Black or African American – A Person Having Origins in Any of The Black Racial Groups of Africa.
- Native Hawaiian or Other Pacific Islander – A Person Having Origins in Any of The Peoples of Hawaii, Guam, or The Pacific Islands.
- Asian – A Person Having Origins in Any of The Original Peoples of The Far East, Southeast Asia, or The Indian Subcontinent, Including, For Example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, And Vietnam.
- American Indian or Alaska Native – A Person having origins in any of The Original peoples of North And South America (Including Central America), And Who Maintain Tribal Affiliation or Community Recognition.
- Two or More Races – All Persons who Identify with more han One of The Above Five Races.
Attachments
Certification
Signature
I understand that the information provided on this Application (and accompanying resume, if any) must be true and complete to the best of my knowledge. I also understand that any false information or omission may disqualify me from further consideration of employment and may Result in my dismissal if discovered at a later date.
I authorize a thorough investigation of my past employment and relevant activities, agree to cooperate in such investigation, and release from all liability or responsibility all persons and corporations requesting or supplying such information. I further authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the job for which I am being considered or any future job in the event that I am hired.
If an employment relationship is established, I understand that I must comply with Village policies, rules and procedures as are implemented from time to time and that the village may add to, delete or revise these policies, rules and procedures at any time. I also understand that any period of employment is not for a specific duration.
My signature below certifies that this Application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.
NOTICE: This Application is considered active for sixty (60) days from the date submitted. For further consideration after this date, a new application must be submitted.
Please submit any required attachments for the position applied to and/or attach resume in Word/PDF file format.