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Corning, CA

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Human Resources
Job Application Form

Memorandums of Understanding IIPP Employee Salary Schedules Holiday Schedule (Observed) Job Opportunities Seasonal Lifeguard Application Job Application Form

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Rubi Ordaz

(530) 824-7033

(530) 824-2489 (FAX)

rordaz@corning.org

794 Third Street
Corning, CA 96021

Monday-Friday: 8:00am-5:00pm

Job Application Form

Date of Application: * Required
MM slash DD slash YYYY
Position Applied For: * Required
Rate of Pay Expected: * Required
Name * Required
First Middle Last
Email * Required
Address * Required
Street Address City State / Province / Region ZIP / Postal Code
Mailing Address (If different from above)
Street Address City State / Province / Region ZIP / Postal Code
Phone * Required
Is it OK to leave message? * Required
- Yes
- No
Are you a U.S. Citizen? * Required
- Yes
- No
If not, are you a legal resident?
- Yes
- No
Drivers License * Required
Number Class State Issued Expiration Date
Were you previously employed by the City of Corning?
- Yes
- No
If yes, when and under what name?
Do you have any relatives working for the City of Corning?
First Last Relationship
Do you type?
- Yes
- No
WPM:
Do you possess any licenses, permits, certificates, or any experiences, skills or qualifications which would be applicable for work with the City? Please list any foreign languages(s) in which you are fluent. * Required
Education History: * Required
Check all that apply
- Graduated High School
- Some College
- Graduated College
- Graduated Other/Business/Trade
Education Details: * Required
Please specify educational institution(s) attended. If degree earned, please specify type.
List below all present and past employment FOR THE LAST 10 YEARS beginning with your most recent job
Company Name
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Company Address
Street Address City State ZIP Code
Company Phone #
Your Supervisor
First Last
Position Held
Your Duties
Reason For Leaving
Company Name
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Company Address
Street Address City State ZIP Code
Company Phone #
Your Supervisor
First Last
Position Held
Your Duties
Reason For Leaving
Company Name
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Company Address
Street Address City State ZIP Code
Company Phone #
Your Supervisor
First Last
Position Held
Your Duties
Reason For Leaving
May we contact your employers listed? * Required
- Yes
- No
Which ones would you like to exclude from contacting?
Resume and/or References: (upload option)
Max. file size: 25 MB.
BY CLICKING THE BOX BELOW, I HEREBY CERTIFY THAT MY ANSWERS TO THE QUESTIONS IN THIS APPLICATION ARE COMPLETE, ACCURATE AND TRUE TO THE BEST OF MY KNOWLEDGE. I AGREE AND UNDERSTAND THAT ANY OMISSION OR MISSTATEMENTS OF MATERIAL FACTS CONTAINED IN THE APPLICATION MAY CAUSE ME TO FORFEIT ALL RIGHTS OF EMPLOYMENT. I UNDERSTAND THAT THE INFORMATION PROVIDED BY ME WILL BE VERIFIED AND THAT FAILURE TO COMPLETELY ANSWER ANY QUESTION MAY RESULT IN MY NOT BEING CONSIDERED FOR EMPLOYMENT. THE CITY OF CORNING IS AN EQUAL OPPORTUNITY PROVIDER AND EMPLOYER. * Required
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