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City of Ludington Application for Employment

  1. If under 18, can you provide a Work Permit?

  2. Have you filed an appliaction here before?

  3. Have you ever been employed here before?

  4. Are you employed now?

  5. May we contact your present employer?

  6. Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof of citizenship or immigration status may be required upon employment)

  7. Are you available to work?

  8. Are you on a layoff and subject to recall?

  9. Have you been convicted of a felony within the past 7 years? (Conviction will not necessarily disqualify applicant from employment)

  10. Veteran of the U.S. Military services?

  11. Education

  12. Employment Experience: (Start with your present or last job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex, or national origin.)

  13. Dates Employed:

  14. Dates Employed:

  15. Dates Employed:

  16. Applicant Statement

    I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. It is my responsibility to keep the personnel department advised about any changes of address and telephone number.

  17. Leave This Blank:

  18. This field is not part of the form submission.