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Addendum and Employment Application for the Galena Police Department

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City of Galena Employee Application

Name
Address
How did you find out about this position?
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Employment Desired

Have you ever been an employee of the City of Galena?
Are you legally eligible for employment in the United States?

Employment Experience

Address
Address
Address

Educational Background

Address
Address
Did you graduate?
Address
Did you graduate?
Address
Did you graduate?

References

Include supervisors and person we may contact to verify your performance and qualifications. Do not give names of persons related to you.
Name
Your Supervisor?
Address
Name
Your Supervisor?
Address
Name
Address

Addendum

At the time of interview you will be required to sign a release form to all access to any and all of your records. This will include high school and college or university transcripts and credit information.

High School/GED Information

Copy of High School Diploma is required and must be attached.
Did you Graduate
Did you Graduate
Did you Graduate
Click or drag a file to this area to upload.
Copy of GED is required and must be attached.
Click or drag a file to this area to upload.

College or University Information

Copy of Degree(s) must be attached
Did you Graduate
Did you Graduate
Did you Graduate
Click or drag a file to this area to upload.

Veteran Information

If you are a veteran, please list the branch(s) of service and dates and include type of discharge received o include the “RE” code.

Places of Residence for the Last 5 Years

Address #1
Address #2
Address #3

Verification

Please check all your information, complete all fields, and attach all supporting documents before submitting this application and addendum.
I certify by signing this electronically, that all the information submitted by me on this application is true and complete, and I understand that if any false or misleading information, omissions, or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the office’s rules and regulations, and I understand that these rules and or the employee handbook do not form a contract of employment either expressed or implied, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the department’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the office. I understand that no city representative, other than the Mayor, and then only when in writing and signed by the Mayor, has any authority to enter into an agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

Attachments