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105 N Dickason Blvd. Columbus WI 53925
Fax (920) 623-5901
City Website: www.columbuswi.com
The City of Columbus is an equal opportunity employer committed to offering employment without regard to race, color, sex, age disability, political or religious affiliation, marital status, sexual orientation, arrest record, national origin, ancestry or other protected status. All qualified applicants are welcome to submit applications for employment. If you require accommodation in the completion of this application, please contact us.
If hired you will be required to submit verification of your legal right to work in the United States.
The date you began attending.
The date you stopped attending.
Please list three professional references. Do not include relatives or previous employers.
List your last 10 years of employment.
I certify that the information contained in this application is true and correct. I authorize the City of Columbus to make
inquiries into this information and/or to obtain information about my me or my employment. I also authorize former
employers named herein to give information regarding me and my employment. I voluntarily and knowingly fully release
and hold harmless any person or organization that provides information pertaining to me or my employment.
I understand that omitted, false or misleading information in my application or interview may result in denial of
employment or be cause for my subsequent release, if hired.
I also understand that an offer of employment will be based upon the information gathered in these references. I will be
required to successfully complete a background check and drug screen for initial employment.
Regardless of whether I become employed, I recognize that this application is not and should not be considered a
contract of employment. I understand that employment here is on an at-will basis and that my employment may be
terminated with or without cause, and without notice, at any time, at my option or the organization’s, unless provided
otherwise in a written employment contract.
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