Application: Pool Attendant Job at City of Northfield in Northfield, MN

The City of Northfield is an Equal Opportunity Employment employer.

It is the policy of the City of Northfield to provide equality in employment to all persons. This policy expressly prohibits discrimination because of race, creed, color, religion, national origin, sex, sexual orientation, marital status, status with regard to public assistance, disability, membership or activity in a local human rights commission, age, or any other basis protected by law, except where there is a bona fide occupational qualification. This policy applies to all phases of employment including, but not limited to: recruitment, hiring, placement, promotion, demotion, transfer, layoff, recall, discharge, rates of pay or other forms of compensation, and selection for training. This policy also applies to the use of all facilities and participation in all city-sponsored employee activities.

Please furnish complete information, so we may accurately and completely assess your qualifications. You may attach any other information which provides additional detail about your qualifications for employment in the position you seek. Please refer to the Applicant Data Practices Advisory for information regarding what is considered public and private information as an applicant, and if you are selected for the position, as an employee.

The City accommodates qualified persons with disabilities in all aspects of employment, including the application process. If you believe you need a reasonable accommodation to complete the application process, please contact Human Resources at 507-645-3012.

Q1. What is the specific title of the position for which you are applying?

Q2. What date are you available to start work?

Q3. What is your complete name?

Q4. Have you been known by any other name? If so, please list name(s).

Q5. What is your complete address?

Q6. Are you 18 years or older?

Yes
No

Q7. May we contact you at work?

Yes
No

Q8. Did you graduate from high school or receive a GED?

Yes
No

Q9. What is the name and location of the high school you attended and graduation date?

Q10. Are you legally eligible to work in the United States?

In accordance with the Immigration Reform and Control Act of 1986, the City only hires U.S. citizens and lawfully authorized alien workers. If hired, you will be required to provide written documentation of citizenship or legalized alien program. Failure to provide said documentation will result in dismissal.

Yes
No

Q11. Do you have any close relatives employed by the City of Northfield?

Yes
No

Q12. If so, please indicate department they are employed in and their relation to you.

Q13. Employment Condition Desired:

Regular Full-Time
Regular Part-Time
Seasonal/Temporary

Q14. Have you previously been employed by the City of Northfield?

Yes
No

Q15. How many years of education have you completed?

Q16. Have you attained education beyond high school? If so, what is the name and location of the educational institution and what was the type of degree, diploma, or certificate received?

Q17. Please indicate the type of Driver's License you hold.

Q18. List relevant professional memberships, registrations or licenses you hold. Include the date first issued and expiration date. (If none, please indicate N/A)

Q19. List any equipment (relevant to the position you are applying for) that you are trained or licensed to operate and/or have job experience using

Q20. List the computer programs you are proficient in and indicate the number of years of experience you have with each.

Q21. List all languages you are proficient in and indicate whether you are proficient in speaking that language, writing that language and/or reading that language.

Q22. List any first aid and/or CPR training and certifications you currently hold. Include the date first issued and expiration date.

Q23. What is your keyboarding speed?

Q24. Employment History - Please list your complete employment history, with the most recent experience first. Include:

1. Company Name;
2. Address;
3. Phone Number;
4. Your Position;
5. Principal Responsibilities (be complete);
6. Length of Employment (please list number of years and months);
7. Number of Hours Worked Per Week;
8. The number of positions you supervised (if applicable);
9. Your Supervisor's Name and contact information; and
10. The Reason For Leaving or Seeking Other Employment.

If you list any employment history prior to 5 years from the date you complete this application, do not list the dates of employment; however, do indicate the total number of years and months you were employed. Include paid and unpaid experience. DO NOT USE "SEE RESUME" OR SIMILAR UNLESS YOU ARE NOT ABLE TO FIT ENTIRE WORK HISTORY IN THE SPACE PROVIDED.

IF YOU ARE UPLOADING A RESUME AND WISH TO ATTACH ADDITIONAL DOCUMENTS (FOR EXAMPLE - LETTERS OF RECOMMENDATION, CERTIFICATIONS, POST BOARD DOCUMENTS), PLEASE COMBINE THEM BEFORE UPLOADING. THE SYSTEM ONLY ALLOWS ONE UPLOAD. THEREFORE, THE RESUME DOCUMENT WILL ALSO INCLUDE ALL OTHER DOCUMENTS YOU WISH TO ATTACH

Q25. Military History - Please list your Military history, with the most recent experience first. If you list any military history prior to 5 years from the date you complete this application, do not list the dates; however, do indicate the total number of years and months you were in the military.

Q26. May we contact your previous employer(s)?

The City of Northfield has the right to verify information provided in the application. False information may subject an applicant to the penalty provision of M.S. 43A.39. In connection with this application for employment, I authorize the City of Northfield and any agent acting on its behalf to conduct an inquiry into any job-related information contained in this application, including, but not limited to, my records maintained by an educational institution relating to academic performance such as transcripts. Moreover, I hereby release the City of Northfield and any agent on its behalf from any and all liability of whatsoever nature by reason of requesting such information from any person.

Yes
Yes, but not present employer until job is offered
No

Q27. References - Please list up to 3 references. Include the following information:

Name
Address
Phone Number
Position & Relationship to Your Work

Data Practices Advisory

The info requested on the application is necessary, either to identify you or to assist in determining your suitability for the position for which you are applying. You may legally refuse, but refusal to supply the requested information will mean that your application for employment may not be considered.

Information requested on your application that is defined by State Statute as public may be released on request and includes job history, education and training, rank on our eligibility list, relevant test scores, veteran’s status, and work availability.

Your name is private except when you are certified as eligible for appointment to a vacancy or selected as a finalist for the position. Certain other information requested on your application is private and may be released only to you or to governmental entities authorized access by law (MS 13.02, Subd. 12). Private data contained above:

NAME: Used to identify you in relation to other applicants.

LOCAL/PERMANENT ADDRESS/HOME TELEPHONE: Used to contact you regarding your application’s status. You are not legally required to provide this information. Failure to provide this information may result in a delay in processing or notifying you of your application’s status.

LICENSE INFORMATION: Used to certify applicants for position where State law requires appropriate license. You are legally required to provide this information. Failure to provide this information may result in your rejection as an applicant for these positions.

AGE RANGE: Used to accurately certify applicants for certain types of work according to State law. You are legally required to provide this information. Failure to provide this information may result in rejection of your application.

CITIZENSHIP STATUS: Used to certify applicants for work in the United States as determined by laws of the United States Department of Labor and the State of Minnesota. Failure to provide this information may result in rejection of your application.

EMPLOYMENT: If you are selected for employment with the City, the following additional information about you will be public: your name; actual gross salary and salary range; contract fees; actual gross pension; the value and nature of your fringe benefits; the basis for and the amount of any added remuneration, such as expenses or mileage reimbursement, in addition to your salary; your job title; job description; the dates of your first and last employment with the City; the status of any complaints or charges against you while at work; the final outcome of any disciplinary action taken against you, specific reasons for it, and all supporting documentation about your case; terms of any agreement settling administrative or judicial proceedings; your work location and work phone number; your badge number, if any; honors/awards received; and payroll time sheets. Information not listed as public, which is maintained as part of your personnel record, is private, and will not be shared with anyone but those members of our staff and appointing authorities whose work assignment requires access, those persons authorized by law to have access, and those persons to whom you have given your informed written consent. Examples, but not an exclusive listing, of those authorized by law to have access to personnel data include labor organizations to the extent they need it in the conduct of normal business as your representative, insurance providers, City contractors whose contracts require access (e.g., the City Attorney or insurance claims adjuster), Public Employees Retirement Association, Internal Revenue Service, Social Security Administration, State Department of Employment and Security and any other entity authorized by law. Personnel data will be disclosed as required by a court order or for the purposes of wage attachments, and as may be required by any State or Federal law subsequently enacted. For further info refer to MN Statutes Ch. 13

Conviction Information

No person shall be disqualified from public employment solely or in part because of prior conviction of a crime or crimes, unless the crime or crimes for which convicted directly relate to the position of employment sought. In determining the effect of a conviction, the City shall consider the requirements of Minnesota Statutes, Chapter 364. Applicants who are finalists for certain positions will be subject to a criminal background investigation.

Physical and Psychological Examination

If you are hired for this position, you may be required to undergo a physical and/or psychological examination at the employer’s expense to determine whether or not you are able to perform the duties of this position in an effective and safe manner and whether or not reasonable accommodations are necessary for you.

Drug and Alcohol Testing

The City of Northfield has adopted a drug and alcohol testing policy. The purpose of this policy is to provide for a safe public and employment atmosphere, as set forth by Minnesota State Statute 181.951. As a job applicant for any City position, you are subject to testing under the policy and will be asked to provide a urine specimen after you have received a conditional offer of employment. You may legally refuse to undergo a drug or alcohol test. If you refuse, the City’s conditional offer of employment may be withdrawn. If you undergo an initial screening test with a positive test result, a confirmatory test verifying that result must be performed. You have the right to explain a confirmatory test’s positive result within three working days after receiving notice. You have the right to request and pay for a confirmatory retest of the original sample within five working days after receiving notice. If the confirmatory retest does not confirm the original positive test result, no adverse personnel action based on the confirmatory test may be taken against you. A job applicant who receives a positive test result and fails or refuses a confirmatory test or does not request in writing a confirmatory retest within five working days after notice, may be refused employment and will be notified of the reason for such refusal. Except as otherwise noted, the job applicant has no additional right of appeal with the City of Northfield. The full Drug and Alcohol Testing personnel policy is available for review in the Human Resources Office at City Hall, 801 Washington Street, during regular business hours. A job applicant receiving a conditional offer of employment will be given a full policy at least one day prior to testing.

Auxiliary Aids and Assistance

If you have a job-related disability and require a reasonable accommodation to compete in the application process, please contact the Human Resources Office at City Hall, 801 Washington Street, telephone number: 507- 645-3012 or TDD 507-645-3075.

Veteran's Preference

Preference points are awarded to qualified veterans and spouses of deceased or disabled veterans to add to their application results. Points are awarded subject to the provisions of Minnesota Statute 43A.11. To be eligible for veteran’s preference points you must:

1. Be separated under honorable conditions from any branch of the armed forces of the United States after having served on active duty for 181 consecutive days or by reason of disability incurred while serving on active duty and be a citizen of the United States or resident alien; or be the surviving spouse of a deceased veteran or the spouse of a disabled veteran who because of the disability is not able to qualify; and

2. NOT be currently receiving or eligible to receive a monthly veteran’s pension based exclusively on length or military service. The information you provide on this form will be used to determine your eligibility for veteran’s preference points. You are not required to supply this information, but we cannot award veteran’s points without it.

You must supply a copy of your DD214. Disabled veterans must also supply form FL-802 or an equivalent letter from a Service Retirement Board. Spouses applying for preference points must supply their marriage certificate, the Veteran’s DD214 and FL-802 or death certificate.

Q28. Are you applying for Veteran's Bonus Points?

Yes
No

Q29. If you answered YES above, are you applying for yourself or your spouse?

Self
Spouse
N/A

Q30. Branch of Service:

Q31. Period of Active Duty - Please list dates

Q32. Rank at Discharge:

Q33. Type of Discharge:

Q34. Date of Final Discharge:

Q35. Service Number:

Q36. Are you receiving or eligible for a military pension?

Yes
No

Q37. Do you have a compensable service-related disability?

Yes
No

Q38. Preference Requested:

Veteran
Disabled Veteran
Spouse of Deceased Veteran
Spouse of Disabled Veteran

Q39. Your Veteran’s Preference Points application cannot be considered without supporting documentation (see instructions above). If the documentation is not attached it must be received in our office no later than 7 calendar days after the application deadline for the position in order to guarantee points are awarded in a timely manner.

Supporting Documentation:

Is attached
Will be submitted within 7 days of application deadline

Q40. Authorization and Release - The City has the right to verify information provided in the application. I understand that the failure to provide the data required for this application, including my signature, may result in the rejection of my application. I may be discharged if there are any misrepresentations on this application, or my resume, or made by me in an interview which may be discovered now or anytime in the future. False information or misrepresentation may also subject me to the penalty provisions of M.S. 43A.39.
As an applicant for a position with the City of Northfield, I hereby expressly authorize the collection, use and release of any and all information concerning me, including information of a confidential or privileged nature, which relates to my employment.

Moreover, I hereby release the City of Northfield and any agent acting on its behalf from any and all liability of whatsoever nature by reason of requesting such information from any person.

Yes
No