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Application for Employment (Online)

Personnel Forms

June 14, 2022

  • Date Format: MM slash DD slash YYYY
  • Personal Information

  • Name * Required
  • Address * Required
  • (Proof of citizenship or immigration status will be required upon employment)
  • Employment Desired

  • Date Format: MM slash DD slash YYYY
  • Are you available to work (check all that apply): * Required
  • (MM/DD/YYY to MM/DD/YYYY)
  • Employment Experience

    Please start with your present or last job. Include any job-related military and/or volunteer assignments. This section must be completed in full.
  • Address * Required
  • Supervisor
  • (MM/YYYY to MM/YYYY)
  • Address * Required
  • Supervisor
  • (MM/YYYY to MM/YYYY)
  • Address
  • Supervisor
  • (MM/YYYY to MM/YYYY)
  • Education/Skills

  • Name and LocationYears AttendedDegree Earned 
  • Branch of service:Military occupation specialty:Length of active duty (MM/YYYY to MM/YYYY):Rank at time of separation: 
  • Do you claim Veterans Preference?
  • Please select the skills that are relevant to the position desired:
  • Licenses

  • Do you have a valid driver’s license? * Required
  • (MM/DD/YYYY)
  • Have you ever had your license or driving privileges revoked, suspended, or placed on probation? * Required
  • Certification TypeIssuing AuthorityIssue Date (mm/dd/yyyy)Expiration Date (mm/dd/yyyy) 
  • References

  • Full Name:Relationship:Company:Phone: 
  • Disclosure of names of family members who are City of Holyoke Employees:

  • Is any immediate family member an employee of the City of Holyoke? Immediate family member is defined as your spouse, parent, brother, sister or child, or the spouse of your parent, brother, sister or child? * Required
  • Name of RelativeDepartmentRelationship 
    City policy prohibits the hiring of applicants that would lead, or may lead to a conflict of interest with an immediate family member. No supervisory employee of the City of Holyoke shall be involved in the hiring, termination, reappointment, promotion, reclassification, demotion, firing, or other personnel decisions of an immediate family member. No employee shall participate in a job performance evaluation of an immediate family member. An employee of the City of Holyoke is prohibited not only from participating in personnel decisions affecting his or her immediate family members, but also from delegating the authority to a subordinate. The signing of warrants authorizing payroll or other payments to immediate family members is prohibited. Note: For purposes of this disclosure, an “employee” is a person holding a paid or unpaid office, position, employment, or membership in any City of Holyoke department, board, or commission. For purposes of this disclosure, a “department” shall include any entity operating as part of the government of the City of Holyoke, and all councils thereof and there under, and any division, board or commission.
  • Resume & Cover Letter

  • Voluntary Affirmative Action Request

    The City of Holyoke, as part of its commitment to Affirmative Action/Equal Employment Opportunity policies, invites you to provide the following information. The information is voluntary and refusal to provide it will not have any bearing on our employment decision. The data is confidential and will be filed separately. It will be available only to authorized personnel and is used to further the City’s Affirmative Action/Equal Employment Opportunity policies. Your cooperation is appreciated.
  • Gender
  • Ethnic Origin
  • Veteran Status
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