Online Employment Application Employment Application Step 1 of 7 14% 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 SectionPosition Applied for*-Please Select-Part-Time FirefighterPart-Time Laborer 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 SectionHigh School*High School Diploma*-Please Select-YesNoHigh School City*High School State* Undergrad SchoolUndergrad School Diploma-Please Select-YesNoUndergrad School CityUndergrad School StateUndergrad School Area of Study Grad SchoolGrad School Diploma-Please Select-YesNoGrad School CityGrad School StateGrad School Area of Study Other SchoolOther School Diploma-Please Select-YesNoOther School CityOther School StateOther School Area of Study List Professional DesignationsList Job Related Skills Employment SectionAre you at least 18 years of age?*-Please Select-YesNoDo you have a valid driver's license?*-Please Select-YesNoHave you worked for this City before?*-Please Select-YesNoHave you reviewed the description of the job?*-Please Select-YesNoDo you understand the job requirements?*-Please Select-YesNoHave you ever served in the military?*-Please Select-YesNoAre you on layoff and subject to recall?*-Please Select-YesNoAre you currently bound by a noncompetition, confidentiality or trade secret agreement?*-Please Select-YesNoHave you ever been discharged or asked to resign from a job?*-Please Select-YesNoHave you been convicted of, or pled guilty to any traffic-related offense within the past five years?*-Please Select-YesNoHave you had your driver's license suspended or revoked or had your driving privileges modified by a court of law?*-Please Select-YesNo Employment HistoryMay we contact your present/most recent employer?*-Please Select-YesNoEmployer*Supervisor*Phone (###) ###-####*City*State*Position Held*Held from* Held to* Duties*Reason for Leaving* EmployerSupervisorPhone (###) ###-####CityStatePosition HeldHeld from Held to DutiesReason for Leaving EmployerSupervisorPhone (###) ###-####CityStatePosition HeldHeld from Held to DutiesReason for Leaving RefrencesReference 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*No ResponseMaleFemaleAge Group*No Responseunder 1718 - 2526 - 4041 - 6565+Ethnicity*No ResponseWhiteBlackHispanicAmerican IndianAsianOtherDo you have a known disability*No ResponseYesNo 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*50MB max Drop files here or Accepted file types: pdf. Upload Diplomas: all copies50MB max, 3 files max Drop files here or Accepted file types: pdf. Upload Certifications: OPOTA, FF Level II, Paramedic, etc.50MB max, 3 files max Drop files here or Accepted file types: pdf. Upload Resume50MB max Drop files here or Accepted file types: pdf. Upload DD-21450MB max Drop files here or Accepted file types: pdf. Signature*Type Name in Signature BoxCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.