Personal Information

    Are you a U.S. citizen?
    Are you authorized to work in the U.S.?
    Have you served in the U.S. military?







    Add at least 1 school.
    + Add School


    Add at least 3 employers.
    + Add Employer


    Add at least 3 professional references.
    + Add Reference
    Do you have any relatives employed by the city?
    Have you ever been hired by us before?
    Are you currently on layoff status and subject to recall?
    Can you travel if job requires it?
    I am available to work the following days:
    Are you at least 18 years of age?
    I am available to work the following:
    I have the following skills:
    Do you have the following Certification:
    No file attached.


    I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.

    I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

    I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

    I understand that the City of Madisonville is an at-will employer.

    Digital Signature