Liberty Lake, WA - Official Website

Employment Application

Application For Employment
City of Liberty Lake, 22710 E Country Vista Dr., Liberty Lake, WA 99019
PERSONAL INFORMATION
First Name*
Last Name*
Address1*
City*
State*
Zip*
Phone Number*
Email Address
Are you legally eligible to work in the US? *
1. Yes
1. No
Are you a veteran?
1. Yes
1. No
If selected for employment, the City of Liberty Lake will complete a background check.
POSITION
Position you are applying for*
Available start date
Employment desired
1. Full time
1. Part time
1. Seasonal/ Temporary
EDUCATION
School name
Location
Degree Received
Major
School name
Location
Degree Received
Major
High School Attended
Location
Diploma received
Years attended
REFERENCES
Name
Title
Company
Phone
Name
Title
Company
Phone
Name
Title
Company
Phone
Employment History
Employer (1)
Job title
Dates employed
Address
Work phone
City
State
Zip
Employer (2)
Job title
Dates employed
Address
Work phone
City
State
Zip
Employer (3)
Job title
Dates employed
Address
Work phone
City
State
Zip
Employer (4)
Job title
Dates employed
Address
Work phone
City
State
Zip
SIGNATURE DISCLAIMER
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.
Date

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