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1. Position Information This section is complete This section is incomplete
2. Personal Information This section is complete This section is incomplete
3. Education This section is complete This section is incomplete
4. Employment History This section is complete This section is incomplete
5. Other Experience This section is complete This section is incomplete
6. Disclaimer & Signature This section is complete This section is incomplete
7. Applicant Data Record - Affirmative Action Survey This section is complete This section is incomplete
8. Veteran's Preference Application Form This section is complete This section is incomplete

Position Information

Which position are you applying for?*
Type of employment desired*
1. Full Time
1. Part Time
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Education

Highest Degree Obtained*
1. GED
2. High School Diploma
1. Assoc. Degree
2. Bachlor's Degree
1. Graduate Degree
2. Other
High School
City/State
College
City/State
Degree or Field of Study
Address
Other
Degree or Field of Study
Other Education or Experience
List any other certificates, education or experience that you feel helps qualify you for the position.
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Employment History

(From Most Recent)
Company*
Position*
Address*
Employed From - To (Dates)*
Last Wage*
Reason for Leaving
If you are no longer employed here, please list reason for leaving employment.
Supervisor*
Phone Number*
May we contact this employer?*
1. Yes
1. No
Job Responsibilities*
Provide a brief description of the main job duties for this position.
Company
Position
Address
Employed From - To (Dates)
Last Wage
Reason for Leaving
If you are no longer employed here, please list reason for leaving employment.
Supervisor
Phone Number
May we contact this employer?
1. Yes
1. No
Job Responsibilities
Provide a brief description of the main job duties for this position.
Company
Position
Address
Employed From - To (Dates)
Last Wage
Reason for Leaving
If you are no longer employed here, please list reason for leaving.
Supervisor
Phone Number
May we contact this employer?
1. Yes
1. No
Job Responsibilities
Provide a brief description of the main job duties for this position.
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Other Experience

Unsalaried/Volunteer Experience
Describe any unsalaried or volunteer experience relevant to the position for which you are applying (you may exclude, if you wish, information which would reveal race, sex, religion, age, disability, or other protected status).
Military Experience
Did you serve in the U.S. Armed Forces?
1. Yes
1. No
Describe your duties and any specilized training:
Veterans' Preference Points
Do you wish to apply for Veterans' Preference points? (If you answered "yes", you must complete the Veterans' Preference application and submit with required documentation.)
1. Yes
1. No
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Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.

I acknowledge that I have received a copy of the job description summary for the position for which I am applying. With my signature below, I am providing the City of South St. Paul authorization to verify all information I provided within this application packet. I understand that the City of South St. Paul may require me to successfully complete a pre-employment drug and alcohol test and does require a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.

Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information. I understand it is my responsibility to notify the City of South St. Paul in writing of any changes to information reported in this application for employment.
Applicant Signature*
Upload Your Resume
Upload Additional Application Materials
Upload Additional Application Materials
Upload Additional Application Materials
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Veteran's Preference Application Form

Supporting documents must be submitted with the application materials if you are applying for Veteran's Perference. Claims for veteran's preference points not accompanied by all proper documentation or received after the indicated closing date will not be processed.
VETERAN Information
Veteran's Name (Last, First, Middle) exactly as it appears on Service Records
Address
City
State
Zip
Phone Number
Applicant Name If Different Than Veteran
Position Applying For
Position Closing Date
Position Closing Date
Position Closing Date
Are you a US Citizen or Resident Alien?
1. Yes
1. No
Veteran (10 Points) Honorably Discharged Veteran
(DD214 must be submitted to receive points)
1. Yes
2. No
For Disabled Veterans (15 Points)
Please indicate percent of Disability. (DD214 and Letter from VA of proof of disability must be submitted to receive points.)
For Spouses of Disabled Veterans (15 Points)
Indicate why the veteran is unable to work the specific position the spouse if applying for due to the nature of the veteran's service-connected disability rating of 10% or greater (be specific). (DD214 and Letter from VA verifying active duty disability related to the position requirements must be submitted to receive points.)
For Surviving Spouse of Deceased Veteran (10 Points)
Please indicate Date of Death and whether you have remarried. (DD214, photocopy of marriage certificate and spouse's death certificate must be submitted to receive points. You are ineligible to receive points if you have remarried or were divorced from the veteran.)
For Surviving Spouse of a Deceased Veteran who was Disabled at Time of Death (15 Points)
Please indicate Date of Death and whether you have remarried. (DD214, letter from VA of proof of disability and USDVA proof that death was related to active duty injury, photocopy of marriage certificate and spouse's death certificate must be submitted to receive points. You are ineligible to receive points if you have remarried or were divorced from the veteran.)
AFFIDAVIT: I hereby claim Veteran's Preference for this recruitment opportunity and swear/affirm that the information given is true, complete and correct to the best of my knowledge and as indicated by my electronic signature below.
Type full name.

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1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Search Forms:

City of South St. Paul Employment Application (Regular FT/PT Positions)

Steps

Position Information

Personal Information

Education

Employment History

Other Experience

Disclaimer & Signature

Applicant Data Record - Affirmative Action Survey

Veteran's Preference Application Form