Skip to Main Content
Loading
Loading
Search
Government
Departments
Services
Businesses
Community
How Do I..
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Community Development
Human Resources
Library
Police Department
Public Works
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Application for Employment
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Application for Employment
This section is complete
This section is incomplete
2.
Contact Information
This section is complete
This section is incomplete
3.
Employment Verification
This section is complete
This section is incomplete
4.
Background
This section is complete
This section is incomplete
5.
Education
This section is complete
This section is incomplete
6.
Education
This section is complete
This section is incomplete
7.
Work History
This section is complete
This section is incomplete
8.
Work History
This section is complete
This section is incomplete
9.
Work History
This section is complete
This section is incomplete
10.
Work History
This section is complete
This section is incomplete
11.
Other Skills and Experience
This section is complete
This section is incomplete
12.
References
This section is complete
This section is incomplete
13.
Authorization and Certification
This section is complete
This section is incomplete
14.
Upload Resume
This section is complete
This section is incomplete
Application for Employment
Application for Employment
An Equal Opportunity Employer
Instructions
To be filled out by the applicant only. If you are physically unable to fill out this application, you may request reasonable accommodations in completing the form. Answer all questions, incomplete applications may not be considered.
Date
*
Date
Department applying to:
*
Title of position you are applying for:
*
Status
*
-- Select One --
Full-Time
Part-Time
Student Intern
Grant Funded
Temporary/Seasonal Employment
When will you be available to start?
*
First Name
*
Last Name
*
Address1
*
Address2
City
*
State
*
Zip
*
Continue
Contact Information
Home Phone
*
Cell Phone
Business Phone
Email Address
Preferred method of contact:
*
Home Phone
Cell Phone
Business Phone
Email Address
Are you a United States Citizen?
*
Yes
No
Are you legally eligible for employment in the US?
*
Yes
No
Are you at least 18 years of age?
*
Yes
No
Your employment will be subject to verification that you meet state and federal minimum age requirements for the type of work you are applying for and have a valid work permit.
Continue
|
Go Back
Employment Verification
Have you ever been employed by the City of Muskego?
*
Yes
No
If yes: when, in what position and in what department?
List any relatives employed by the City of Muskego or serving as elected or appointed officials:
The City of Muskego prohibits the full-time, provisional or part-time employment (excluding seasonal) of an individual in the same department as another family member.
Do you possess a valid Driver's License?
*
Yes
No
Do you possess a valid Commercial Driver's License?
Yes
No
Type/Class
Do you possess any other License?
Yes
No
Type
If you are applying for a job where you need to drive your car while on City business, can you make arrangements to meet the City's minimum liability insurance requirements on your vehicle?
Yes
No
$100,000 each person bodily injury; $300,000 each accident bodily injury; $50,000 property damage liability.
Continue
|
Go Back
Background
This section must be completed.
Please list all instances in which you were convicted as an adult for crimes (misdemeanors or felonies), ordinance violations, traffic violations and the like. Also, please list all criminal charges (misdemeanors or felonies) currently pending aggainst you. Failure to include all information requested under this section may result in denial of employment.
Date
Date
Location
Charge
Court
Disposition of Case
Date
Date
Location
Charge
Court
Disposition of Case
Note:
A conviction record or pending arrest record does not constitute an automatic bar to employment and will be considered only if there is a substantial relationship to the circumstances of the particular position or if the employer deems there is a bona fide occupational qualification inherent in the position which requires this information prior to hiring.
Continue
|
Go Back
Education
Did you graduate from High School?
*
Yes
No
Name and location of High School
If No, have you passed a High School equivalency or GED test?
Yes
No
Location
Special skills and qualifications
List any additional skills or qualifications you may have, ie; office equipment you can operate, computer software you are experienced with.
List additional skills
This information must be provided if you are applying for a position requiring these skills.
Continue
|
Go Back
Education
College or University, Technical, Nursing, Business or other schools you have attended.
Institution Name and Location
Presently attending or year graduated
Major
Type of degree received
Institution Name and Location
Presently attending or year graduated
Major
Type of degree received
Are you a certified Police Officer?
Yes
No
If yes, please give the date of certification and the State certified by.
Foreign language (spoken or read with proficiency)
Describe any education or training you have had which is not listed above. Please provides dates and locations.
Continue
|
Go Back
Work History
Important
You must complete the employment sections of this application. You may attach a resume to further explain your qualifications. Please list a minimum of ten years experience and education.
Are you currently employed?
*
Yes
No
If yes, since what date?
List any time periods of past unemployed status.
Continue
|
Go Back
Work History
Please start with your most recent position/employer. Include military service.
From/To
*
From/To Start Date
—
From/To End Date
Title
*
Employment Status
*
Full-Time
Part-Time
Temporary
Employer's Name (Company)
*
Phone Number
*
Address1
*
Address2
City
*
State
*
Zip
*
Starting Salary
*
(indicate annual, hourly, etc.)
Present Salary
*
(indicate annual, hourly, etc.)
Name and Title of Supervisor
*
Primary Duties
*
Number of employees you supervise
If currently employed, may we contact this employer?
*
Yes
No
Were you involuntarily discharged?
*
Yes
No
Reason for leaving
*
Continue
|
Go Back
Work History
From/To
From/To Start Date
—
From/To End Date
Title
Employment Status
Full-Time
Part-Time
Temporary
Employer's Name (Company)
Address 1
Address 2
City
State
Zip
Starting Salary
(indicate annual, hourly, etc.)
Ending Salary
(indicate annual, hourly, etc.)
Name and Title of Supervisor
Primary Duties
Number of Employees you supervise
Were you involuntarily discharged?
Yes
No
Reason for Leaving
Continue
|
Go Back
Work History
From/To
From/To Start Date
—
From/To End Date
Title
Employment Status
Full-Time
Part-Time
Temporary
Employer's Name (Company)
Address 1
Address 2
City
State
Zip
Starting Salary
(indicate annual, hourly, etc.)
Ending Salary
(indicate annual, hourly, etc.)
Name and Title of Supervisor
Primary Duties
Number of Employees you supervise
Were you involuntarily discharged?
Yes
No
Reason for Leaving
Continue
|
Go Back
Other Skills and Experience
List other experience and skills (Include volunteer experience, internships, and/or jobs not included in the employment history section.)
Continue
|
Go Back
References
References
Work or education related (ie; former employers, supervisors, co-workers, school faculty) No relatives or significant others.
Phone Number
Company
First Name
Last Name
Nature of Relationship
Occupation/Title
Phone Number
Company
First Name
Last Name
Nature of Relationship
Occupation/Title
Phone Number
Company
First Name
Last Name
Nature of Relationship
Occupation/Title
Continue
|
Go Back
Authorization and Certification
Authorization and Certification
Please read and initial each of the following statements. If you have a question regarding any of these statements, contact Human Resources prior to initialing and signing the application. Your initials and signature verify that you have read, understand and agree to abide by these statements.
Inital
*
I authorize any person contacted to provide the City of Muskego any and all information regarding my employment, education and other information concerning any of the subjects covered by the application which may include, but not be limited to, application of employment, performance evaluations, work records, excluding workers compensation if any, wage rates, supervisors’ comments, results of any and all non-medical tests, disciplinary reports or letters, and complaints or allegations regarding any misconduct. I agree to execute release authorization forms as required by the City of Muskego to request employment records from my present and/or former employer(s). I release and hold harmless the City of Muskego, their officers, agents and employees, and the person (s) providing the information from any liability related to the providing of this information.
Initial
*
I understand that after receiving a conditional offer of employment I may be required to successfully pass pre-employment and post-employment exams to gain employment or continue employment with the City of Muskego. I consent freely and voluntarily to participant in required drug tests and/or a pre-employment physical exam at a location selected by the City of Muskego, and consent to the release of the test results to the City of Muskego. I hereby release and hold harmless the City of Muskego, their officers, agents and employees, and the laboratory, their employees, agents and contractors from any liability whatsoever, arising from the drug tests and/or a pre-employment exam and decisions concerning employment based upon the results of the tests.
Initial
*
I authorize the City of Muskego, its officers, agents, and employees to conduct a background criminal check and a check with the Department of Transportation prior to making a decision regarding employment. I release and hold harmless the City of Muskego, their officers, agents, and employees and the person(s) providing the information from any liability related to the performance or result of this check. I recognize that this information will be considered by the City of Muskego only if it substantially relates to the position applied for.
Initial
*
If accepted for employment, I agree that my status as an employee depends upon my successful performance. I understand that just as I am free to resign at any time, the City of Muskego reserves the right to terminate my employment at any time. All employees not covered by a collective bargaining agreement are considered at-will employees.
Initial
*
I agree to use such personal protective equipment and devices as may be required by the City of Muskego and to comply with safety rules and requirements. In addition, I understand that the City of Muskego maintains a workplace free from drugs, harassment and violence.
Initial
*
I understand that nothing contained in the application or any employee handbook, the granting of an interview, or an offer/acceptance of employment constitutes an employment contract. I understand that no representative of the City of Muskego has the authority to make any assurances to the contrary.
Initial
*
I hereby certify that all statements made on or in connection with my application are true, complete and correct to the best of my knowledge and belief. I understand and agree that any misstatements or omissions of material fact subject me to disqualification or, if hired, dismissal.
Initial
*
Notice – Wisconsin Open Records Law: Under Section 19.36(7) of Wisconsin Statutes, the names of the “Final Candidates” must be open to public inspection. The statute also provides that if an applicant does not want his/her name revealed prior to being a “Final Candidate” they can do so by making a separate request in writing.
Initial
*
The City of Muskego is committed to the equality of opportunity for all people. It is the policy of the City of Muskego to provide equal employment opportunities for all individuals on the basis of their skills, abilities and qualifications, without regard to race, color, national origin, religion, political affiliation, sex, age, disability, marital status, arrest or conviction record, sexual orientation, disabled veteran or covered veteran status, membership in the National Guard or any other reserve component of the United States or State military forces, use or nonuse of lawful products off the employer’s premises during non-working hours, or any other non-merit factors, except where such factors constitute a bona fide occupational qualification.
Continue
|
Go Back
Upload Resume
Upload Resume
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
|
Go Back
* indicates a required field
Library
mapMUSKEGO
Economic Development
Permits & Licenses
Fair Housing Support
Agendas & Minutes
Bill Pay
Notify Me®
Property Information
Refuse & Recycling
Report a Concern
Library
Recreation
Government Websites by
CivicPlus®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow
