Online Employment Application - The City of Moraine

Employment Application

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THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT, but merely is intended to evaluate suitability for employment. It is the policy of the City of Moraine to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the City of Moraine to have the option of conducting pre-employment screenings before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 6 months.
Personal Section
Position Applied for*
Part-time minimum requirements for employment are: Firefighter Level 1B, EMT-B Certification at time of hiring and must be be able to work platoon hours (every third day), 24 hrs per week.
Contact Deputy Chief Jeff Eitel or Lieutenant Doug Baumgartner; both at 535-1140 for questions.
The City of Moraine Parks and Recreation is seeking a seasoned full time Program Coordinator. Successful candidates must have exceptional interpersonal/customer service skills, effective verbal/written communication skills and the ability to handle stressful situations. This position is primarily responsible for developing and coordinating sports, fitness, youth and recreation programs in the Payne Recreation Center (PRC). Additional assignments at the Gerhardt Civic Center (GCC) and various City parks to include: fitness programs; indoor and outdoor athletic leagues or events; gym use; youth summer camps; game room/teen room programs and special events.

Requirements and Qualifications
- Bachelor’s degree or higher in parks and recreation or higher in parks and recreation, recreation administration, sports sciences, or related field and/or equivalent related certifications (ACSM, CPRP, YMCA, or ACE), with 3-5 years of sports and recreation management experience preferred.
- Pre-employment drug screening and background check is required. All candidates must be willing to submit to random drug screenings.
- First Aid and CPR certifications preferred or must be obtained immediately after hire.
The City of Moraine Street/Parks Department is now accepting applications for (1) Part-Time Laborer. Applications must be submitted on-line. The chosen applicant will be responsible for weed eating, mowing and light grounds maintenance. The pay for the Part-Time Laborer is $8.87 per hour for a total of 28 hours per week. You must have a valid Ohio driver’s license to apply.
Name*
First Last
Date of Birth*
Driver's License Number*
Email*
Phone (###) ###-####*
Address*
Street Address City State / Province / Region ZIP / Postal Code

Education Section
High School*
High School Diploma*
High School City*
High School State*
Undergrad School
Undergrad School Diploma
Undergrad School City
Undergrad School State
Undergrad School Area of Study
Grad School
Grad School Diploma
Grad School City
Grad School State
Grad School Area of Study
Other School
Other School Diploma
Other School City
Other School State
Other School Area of Study
List Professional Designations
List Job Related Skills

Employment Section
Are you at least 18 years of age?*
Do you have a valid driver's license?*
Have you worked for this City before?*
Have you reviewed the description of the job?*
Do you understand the job requirements?*
Have you ever served in the military?*
Are you on layoff and subject to recall?*
Are you currently bound by a noncompetition, confidentiality or trade secret agreement?*
Have you ever been discharged or asked to resign from a job?*
Have you been convicted of, or pled guilty to any traffic-related offense within the past five years?*
Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law?*

Employment History
May we contact your present/most recent employer?*
Employer*
Supervisor*
Phone (###) ###-####*
City*
State*
Position Held*
Held from*
Held to*
Duties*
Reason for Leaving*
Employer
Supervisor
Phone (###) ###-####
City
State
Position Held
Held from
Held to
Duties
Reason for Leaving
Employer
Supervisor
Phone (###) ###-####
City
State
Position Held
Held from
Held to
Duties
Reason for Leaving

Refrences
Reference Name*
Reference Relationship*
Reference Phone (###) ###-####*
Reference Years Acquainted*
Reference Name*
Reference Relationship*
Reference Phone (###) ###-####*
Reference Years Acquainted*
Reference Name*
Reference Relationship*
Reference Phone (###) ###-####*
Reference Years Acquainted*

EOE
The City of Moraine is required to report on the statistical information requested below. Whether or not you elect to provide this information is entirely voluntary and will not affect any employment decision. However, in order for us to gather the needed information, we do ask that you provide responses to all 4 questions. If you prefer not to answer any or all of the following questions, please select “No Response”. Thank you for your assistance in this statistical survey.
Gender*
Age Group*
Ethnicity*
Do you have a known disability*

Security
1. The City of Moraine and other persons or employers are released from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained here in.

2. The information in this application is true and complete to the best of my knowledge. Any falsification, misrepresentation, or omission on this application can be cause for denial or termination of employment.

3. Upon acceptance of employment if a position is offered, I agree to abide by all existing and future company rules and regulations. The company reserves the right to change any working agreement as deemed necessary.

4. Any employment offer is contingent upon my providing proof of identity and eligibility to work in the United States.

5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.

6. I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.
Upload Cover Letter*
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Accepted file types: pdf.
Upload Diplomas: all copies
50MB max, 3 files max
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Accepted file types: pdf.
Upload Certifications: OPOTA, FF Level II, Paramedic, etc.
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Accepted file types: pdf.
Upload Resume
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Accepted file types: pdf.
Upload DD-214
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Accepted file types: pdf.
Signature*
Type Name in Signature Box
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Employment Application

Step 1 of 7

Personal Section

Education Section

Employment Section

Employment History

Refrences

EOE

Security