Apply Online Employment Application - Redwood Area Community Center WE ARE AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO DIVERSITY AND STRONGLY ENCOURAGE APPLICATIONS FROM ALL BACKGROUNDS Step 1 of 3 33% Title of position for which you are applying Date of Application* MM slash DD slash YYYY Applicant InformationName* First Middle Last Suffix Current Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth* Month Day Year Home Phone*Cell PhoneWork PhoneMay we call you at work? Yes No Email Address (optional) Enter Email Confirm Email Are you legally eligible to work in the United States? Yes No Date you would be available to start work:* Month Day Year How did you hear about the opening?Have you previously been employed by the City of Redwood Falls? Yes No If yes, position(s) in which you worked: Driver’s License Number (if job related) Do you have a valid driver's license? Yes No If yes, State of Insurance:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificClass of License: High School EducationDid you graduate from a High School or receive a G.E.D.? Yes No High School Attended: Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Secondary Education/TrainingName and Address of College, University, Technical, Professional, Business, Trade, Vocational or Other School Number of Credits Earned: Certificate / Degree Type Area of Study: Major / Minor Have you graduated? Received Diploma / Degree?YesNoSecondary Education/TrainingName and Address of College, University, Technical, Professional, Business, Trade, Vocational or Other School Number of Credits Earned: Certificate / Degree Type Area of Study: Major / Minor Have you graduated? Received Diploma / Degree?YesNoSecondary Education/TrainingName and Address of College, University, Technical, Professional, Business, Trade, Vocational or Other School Number of Credits Earned: Certificate / Degree Type Area of Study: Major / Minor Have you graduated? Received Diploma / Degree?YesNoProfessional Licenses / MembershipsIf position requires certificate, registration, or occupational license, please provide information: License/Registration/Certificate/Membership type: Expiration Date Month Day Year Licensing Agency or Organization: License Number: Professional Licenses / MembershipsLicense/Registration/Certificate/Membership type: Expiration Date: Month Day Year Licensing Agency or Organization: License Number Professional Licenses / MembershipsLicense/Registration/Certificate/Membership type: Expiration Date: Month Day Year Licensing Agency or Organization: License Number: Employment History / RecordVERY IMPORTANT: Starting with your PRESENT or most recent EMPLOYER, please list all your positions held for at least the past (7) years. City of Redwood Falls scores the information you provide on this application to determine your qualifications for the position. Please be complete and specific as points cannot be given for items not listed on the application. A resume will not be accepted in lieu of a completed application. Do NOT mark on application "SEE RESUME." Applications will be rejected if incomplete. Complete the dates of employment for each position occupied. Leave the date "TO" blank if you are still currently employed. Present or Last EmployerPresent or Last Employer Name Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Job Title Supervisor Phone No.May we contact?YesNoFrom: Month Day Year To: Month Day Year Total Time (years/months) Full or Part-time: Full-time Part-time Hours / Week Starting Pay / Current or Ending Pay Reason for Leaving: Specific Duties: Previous EmployerPrevious Employer Name Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Job Title Supervisor Phone No.May we contact?YesNoFrom: Month Day Year To: Month Day Year Total Time (years/months) Full or Part-time: Full-time Part-time Hours / Week Starting Pay / Ending Pay Reason for Leaving: Specific Duties: Previous EmployerPrevious Employer Name Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Job Title Supervisor Phone No.May we contact?YesNoTo: Month Day Year From: Month Day Year Total Time (years/months) Full or Part-time: Full-time Part-time Hours / Week Starting Pay / Ending Pay Reason for Leaving: Specific Duties: Professional ReferencesPlease list individuals, other than relatives or personal friends, who can discuss your qualifications and suitability for the position for which you are applying. The City of Redwood Falls reserves the right to contact all prior employers and educational institutions in addition to the references listed below.ReferenceName and Title Relationship Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact TelephoneReferenceName and Title Relationship Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact TelephoneReferenceName and Title Relationship Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact TelephoneComputer of Office Related ExperienceList any computer hardware, software skills or application skills that may be relevant for the consideration of this position:ADDITIONAL RELEVANT WORK EXPERIENCEList any additional information you feel may be important for us to know in evaluating your application; e.g. professional society memberships, relevant community activities or volunteer work, skills, training or experience that are especially suited for the position for which you are applying:Cover Letter and ResumeFor security concerns, we can only accept PDFs. We apologize for any inconvenience. All Word Documents need to be saved and uploaded as PDFs. Any document type other than a PDF will be rejected and the application is not saved. Files Drop files here or Select files Accepted file types: pdf, Max. file size: 100 MB. Please Read & SignAPPLICATION DECLARATION I hereby declare and certify that the answers or statements I have supplied on this Application are true, complete and correct to the best of my knowledge. I understand that any and all information provided as part of this application is subject to verification. I understand that any false or misleading information provided, or any omission or concealment of facts, will disqualify me from consideration for employment, and constitute grounds for my immediate dismissal should I be employed by the City. I understand that I will be asked to furnish proof of eligibility to work in the United States upon being hired. My signature authorizes City of Redwood Falls to secure my driving record (if position requires a valid driver's license and/or proof of equivalent mobility), transcripts from educational institutions to verify credits/degrees and information needed to obtain criminal background check. It also authorizes collection of any employment related information deemed necessary from current or former employers, organizations where I have volunteered ("volunteer organizations") named in this application or personal references. I agree to hold harmless those individuals, organizations, and City of Redwood Falls for any information provided or received. I understand the City will use this information to determine my fitness qualifications for the position I am seeking. This authorization expires one year from the date of my signature below. I hereby release the City and all current and former employers, volunteer organizations and references listed herein and any and all agents acting on behalf of said City, former employers, volunteer organizations or references, from any and all liability of whatever nature by reason of requesting or providing such information. YOUR RIGHTS AS A SUBJECT OF DATA Minnesota Statutes Chapter 13 requires that you be informed that the following information which you are asked to provide in the employment application process is considered private data: Name, Home Address, Home Phone Number, information regarding disability or any reasonable accommodation, and Racial/ Ethnic Data. This means the data is available only to you and City officials who have a reasonable and work-related need for it during the hiring process. This data may also be available to other agencies with statutory authority, including law enforcement agencies and persons or entities authorized by law or court order. The data will be used to identify you within the hiring process. Refusal to supply Name, Home Address and Home Phone Number may result in your application not being considered. Furnishing racial/ethnic data, age and gender is voluntary and will not be used by City of Redwood Falls as a criterion for employment. Information regarding disability or any reasonable accommodation will be used to provide reasonable accommodations during the hiring process. Refusal to provide information regarding disability or any reasonable accommodations may result in City of Redwood Falls not being able to accommodate you during the hiring process. Information regarding disability or any reasonable accommodations will be maintained separately and will be treated as private medical records. Your name will become public data when you are certified as eligible to be selected to fill a vacancy. All other information you supply on this application, with the exception of that which is private data as indicated above, will become public if you are hired by City of Redwood Falls. EQUAL OPPORTUNITY EMPLOYER City of Redwood Falls, an Equal Opportunity Employer, is committed to provide for all, without discrimination, equal employment opportunity to hire and promote without regard to such non-job-related distinctions on the basis of race, color, creed, religion, national origin, disability, marital status, sexual orientation, sex (except when sex is a Bona Fide Occupational Qualification) or status with regard to public assistance. PUBLIC SAFETY APPLICANTS ONLY: In consideration of being permitted to apply for the position herein, I voluntarily assume all risks in connection with my participation in any tests the City of Redwood Falls deems necessary to determine my fitness and eligibility, and I release and forever discharge the City of Redwood Falls, its officers and employees from any and all claims for any damage or injury that I might sustain. I hereby declare that I have read all the statements above. I acknowledge and understand what information I supply is done so with regard to the Minnesota Government Data Practices Act. (Minnesota Statutes 13.01 - 13.88)APPLICATIONS SUBMITTED ELECTRONICALLY:* I agree. Please consider the electronic submission of my application as authorization for consideration for the position in which I applied. I do not agree. Please do not consider my application as whole or earnest until I have signed this application. By electronically submitting this employment application to City of Redwood Falls, I agree that the information in the application is true, complete and correct to the best of my knowledge. I understand that if I should proceed through the employment process. I will be required to sign this application affirming that all of the information provided and statements made are accurate. I also understand that any false or misleading information provided, or any omission or concealment of facts, will disqualify me from consideration for employment. Signature of Applicant Date MM slash DD slash YYYY Criminal History Background ChecksThe City of Redwood Falls conducts criminal history background checks on all full-time or part-time employees. For sworn police positions, felony convictions (and certain other convictions mandated by the State Licensing Board for Police) will automatically disqualify you from further consideration. For non-police positions, the City will look at the type of conviction and whether it is directly related to the job for which you are applying. Candidates for positions working with children will not be selected if they have been convicted of any crime listed in the Child Protection Worker Act (Minnesota Statutes 299C.61 & 62). Generally, this includes child abuse crimes, murder, manslaughter, felony level assault or any assault crime committed against a minor, kidnapping, arson, criminal sexual conduct, and prostitution-related crimes. Before any applicant (other than applicants for positions within the police or fire department) is rejected on the basis of criminal conviction, he or she will be notified in writing and will be given any rights afforded by Minnesota Statutes Chapter 364. This includes the right to show evidence of rehabilitation.YOUR COOPERATION IS VOLUNTARYThe following information will NOT be used by the City of Redwood Falls as criteria for employment. This information is to help us comply with EEO/ Veteran's Preference guidelines. Information regarding disability or any reasonable accommodations will be used to provide reasonable accommodations during the hiring process. We request that you complete this applicant data record. This information will be filed in a separate, confidential file from your Application for Employment.GenderMaleFemaleEthnicity White: Origins in any of the original peoples of Europe, North Africa, or the Middle East (not of Hispanic origin) Black: Origins in any of the Black African racial groups (not of Hispanic Origin) Hispanic: Origins in Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin regardless of race American Indian/Alaskan Native: Origins in North America or if maintain tribal affiliations through memberships, participation or community recognition Asian or Pacific Islanders: Origins of the Far East, Southeast Asia, the Indian subcontinent of the Pacific Islanders If you have a disability or need any reasonable accommodations in order to participate in the City of Redwood Falls hiring process, please explain:VETERAN'S PREFERENCE DECLARATIONCity of Redwood Falls awards preference points to qualified veterans and spouses of deceased veterans to add to their results. This completed form also certifies that you served in a branch of the armed forces of the United States on active duty for 181 or more consecutive days Application Instructions - Points are awarded subject to the Minnesota Statutes 43A.11. You must supply a copy of DD214 by the application deadline. If the DD214 is not received Veteran Preference Points will not be awarded. Disabled veterans must also supply an equivalent letter from a service retirement board. Spouses applying for preference points must supply their marriage certificate, the veteran's DD214 or death certificate. I am applying for Veteran's Preference:YesNoVeteran is:SelfSpouseIf Spouse, Veteran's Name Branch of Service Period of Active Duty - From: / To: Rank at Discharge Type of Discharge Service No. Preference: Veteran Disabled Veteran Spouse of Veteran Spouse of Deceased Veteran Name/Signature Date Month Day Year CommentsThis field is for validation purposes and should be left unchanged.