City of Westfield

Employment Application


The City of Westfield is an affirmative action/equal opportunity employer and will not discriminate, or tolerate discrimination, against any employee or applicant in any manner prohibited by law.

Please fill this application in its entirety. Any applicant who provides unrequested information will be automatically rejected.

Name*
Address*
Are you at least 18 years of age?*
Are you legally eligible for employment in the United States?*
Are you able to perform the functions of the job for which you are applying with or without reasonable accommodation?*
Have you been convicted of a felony?*

Education

Did you graduate?*
Did you graduate? *
Did you graduate?

References

LIST FOUR PERSONS, OTHER THAN RELATIVES OR PERSONAL FRIENDS, WHO HAVE KNOWLEDGE OF YOUR WORK EXPERIENCE AND/OR EDUCATION.

Name*
Name *
Name *
Name*

Previous Employment

PLEASE LIST MOST RECENT EMPLOYER FIRST

May we contact your previous supervisor for a reference?*
May we contact your previous supervisor for a reference? *
May we contact your previous supervisor for a reference? *

Disclaimer and Signature

PLEASE READ CAREFULLY BEFORE SIGNING


By signing this application, I declare that the information provided by me is complete and true to the best of my knowledge.  I understand that any misrepresentation or omission on this application may preclude an offer of employment, or may result in a withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time the misrepresentation or omission is discovered.

In connection with my application for employment, the City of Westfield, its employees and its agents are authorized by me to conduct a background investigation to assess my suitability for employment, and may contact any sources necessary to do so.  I hereby release the City of Westfield, its employees, agents, officers, affiliates, successors and assigns, and any persons or entities contacted by the City of Westfield in order to undertake an investigation of my suitability for employment, from any legal claims I might assert arising from such investigation ( including, but not limited to, claims of invasion of privacy or defamation).

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Date/Time*
Please upload your Resume*
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City of Westfield Important Notice to Applicants

Disability Accommodation Available for Applicants I understand that if I require an accommodation for a disability so that I may participate in the selection process I am encouraged to contact the City of Westfield Human Resources Manager at (317) 804-3005, or via email at: kstakelbeck@westfield.in.gov.

Equal Opportunity/Affirmative Action Employer and Educator We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability, genetic information, or any other characteristic protected by law.

Application Fraud & Misrepresentation I certify that all statements (verbal and written) made on any and all material collected during the hiring process are true, complete and accurate and I understand that misrepresentation or omission of facts called for in the employment application, resume, interview process or other application material may prohibit consideration for employment at the City of Westfield and is cause for immediate termination if employed. 

Reference and Background Checking Applying for a specific job authorizes the City of Westfield to contact any of your schools, your current* and former employers, or other references for the purpose of verifying information and/or obtaining an account of your education, work experience and skills. By applying for a job you agree to hold any and all of your reference sources harmless and free of any liability for releasing such information. Please note that for some positions a more extensive background check is part of the employment decision making process and you will need to sign any necessary disclosure and release forms including, but not limited to, a "Disclosure and Release of Information Authorization" form as part of the hiring process. (* Please note that the point at which your prospective hiring supervisor will contact your employer may vary; however, this is most commonly done on a preemployment basis usually after the initial interview. This practice is rarely performed on a pre-interview basis. If you have concerns about having your current employer contacted, please communicate those concerns to the person who conducts your initial interview to determine what, if any, alternatives exist.) 

Employment Eligibility Verification All offers of employment by the City of Westfield are contingent on the provision of satisfactory proof of your identity and legal authority to work in the United States. You must comply with the requirements of the Immigration and Naturalization Service's Employment Eligibility Verification (I-9 Form). 

Offers of Employment  Please be advised that the City of Westfield will not be bound by offers or conditions of employment other than those made in official offer letters. 

Employment At-Will Employment with the City of Westfield is at-will unless otherwise provided under an Indiana statute. At-will employment means the employer-employee relationship may be terminated at any time, for any reason or for no reason at all, with or without notice. If you have any questions regarding employment at-will, please contact the City of Westfield Human Resources Manager at (317) 804-3005.


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