Apply – City of Nyssa, OR

CAREERS WITH

city of nyssa

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Police Officer –

Please fill out the two forms below

We are excited about your next steps here at the City of Nyssa. If you are interested in applying for a job, please fill out the Applicant Release Info and also the Application below.

APPLICANT RELEASE OF INFO

As an applicant for a position with the City of Nyssa, I am requested to furnish information for use in determining my qualifications and suitability to fill the position. I understand that any or all information contained in my application for employment may be subject to verification or investigation by the City. I also understand that criminal history and driving records will be checked if, in the judgment of the City such are relevant to the position for which my application for employment is made.
For these purposes, I consent to the release of information concerning my qualifications, suitability, and moral character by employers, education institutions, law enforcement agencies, and other relevant individuals and agencies to any duly authorized agent of the City of Nyssa. Such release includes any personnel or investigative files maintained by former employers.
I further consent to allow a photocopy of this release form when presented by a duly authorized agent of the City of Nyssa to serve as valid release even though the photocopy does not contain an original writing of my signature.
I hereby release, discharge and exonerate the City of Nyssa, Oregon its agents and representatives, and any and all agencies, organizations or individuals, or representatives thereof so furnishing information, from any and all liability of every nature and kind arising out of the furnishing or inspection of such documents, records, and other information pursuant to the Release of Information.
This release will expire one year after the date it is signed.

Date(Required)

Date of Birth(Required)

Social Security No(Required)

Applicant’s Name(Required)

Driver’s License Number & State(Required)

Applicant’s Signature(Required)

Comments

This field is for validation purposes and should be left unchanged.

APPLICATION

TODAY'S DATE(Required)

SOCIAL SECURITY NUMBER(Required)

NAME(Required)

First Middle Last

PRESENT ADDRESS(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PERMANENT ADDRESS(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ARE YOU 18 YEARS OR OLDER?(Required)

Yes

Phone(Required)

ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS?(Required)

Yes

POSITION(Required)

DATE YOU CAN START(Required)

DESIRED SALARY

ARE YOU EMPLOYED NOW?(Required)

IF SO MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?(Required)

YES

EVER APPLIED TO THIS COMPANY BEFORE?(Required)

YES

REFERRED BY

WHERE?

NAME AND LOCATION OF GRAMMAR SCHOOL(Required)

NO. OF YEARS ATTENDED(Required)

NAME AND LOCATION OF HIGH SCHOOL(Required)

NO. OF YEARS ATTENDED(Required)

NAME AND LOCATION OF COLLEGE

NO. OF YEARS ATTENDED

DID YOU GRADUATE?

SUBJECTS STUDIED

NAME & LOCATION OF TRADE, BUSINESS OR CORRESPONDENCE SCHOOL

NO. OF YEARS ATTENDED

DID YOU GRADUATE?

SUBJECTS STUDIED

SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK

SPECIAL SKILLS

ACTIVITIES: (CIVIC, ATHLETIC, ETC.)

EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE, CREED, SEX, AGE, MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS.

U.S. MILITARY OR NAVAL SERVICE?

RANK

PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES?

Job #1: NAME & ADDRESS OF EMPLOYER(Required)

DATE, MONTH AND YEAR(Required)

POSITION(Required)

SALARY

REASON FOR LEAVING(Required)

Job #2: NAME & ADDRESS OF EMPLOYER

DATE, MONTH AND YEAR

POSITION

SALLARY

REASON FOR LEAVING

Job #3: NAME & ADDRESS OF EMPLOYER

DATE, MONTH AND YEAR(Required)

POSITION

SALLARY

REASON FOR LEAVING

WHICH OF THESE JOBS DID YOU LIKE THE BEST?

WHAT DID YOU LIKE MOST ABOUT THIS JOB?

GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

NAME

ADDRESS

BUSINESS

YEARS KNOWN

PHONE

NAME

ADDRESS

BUSINESS

YEARS KNOWN

PHONE

NAME

ADDRESS

BUSINESS

YEARS KNOWN

PHONE

IN CASE OF EMERGENCY NOTIFY(Required)

ADDRESS

PHONE NO.

SIGNATURE OF APPLICANT

Consent(Required)

I agree to the terms below.

“I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.
IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY’S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT’S MANAGER, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE MANAGER, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.”

The City of Nyssa is an Affirmative Action/Equal Opportunity Employer and complies with Section 504 of the Rehabilitation Act of 1973. The City of Nyssa is an Equal Opportunity Provider and Employer. We do not discriminate on the basis of race, religion, color, sex, age, national origin, If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination complaint Form, found online at http://www.ascr.usda.gov/complaint filing cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at USDA, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov

CAREERS WITH

city of nyssa

APPLY NOW

Please fill out the two forms below

APPLICANT RELEASE OF INFO

APPLICATION

CONTACT INFORMATION

contact

City Manager: Jim Maret

Recorder CMC: Marla Roberts

City Clerk: Kelli Torres

Address

City of Nyssa
301 Main St.
Nyssa, OR 97913

phone: 541-372-2264

fax: 541-372-3737

CITY OF NYSSA

SUBMIT NEWS

ON YOUR COMMNUITY

CITY OF NYSSA

SUBMIT NEWS

ON YOUR COMMNUITY

CAREERS WITH

city of nyssa

APPLY NOW

Please fill out the two forms below

APPLICANT RELEASE OF INFO

APPLICATION

CONTACT INFORMATION

contact

City Manager: Jim Maret

Recorder CMC: Marla Roberts

City Clerk​: Kelli Torres

Address

City of Nyssa 301 Main St. Nyssa, OR 97913

phone: 541-372-2264

fax: 541-372-3737

CITY OF NYSSA

SUBMIT NEWS

ON YOUR COMMNUITY

CITY OF NYSSA

SUBMIT NEWS

ON YOUR COMMNUITY

City Clerk: Kelli Torres

City of Nyssa
301 Main St.
Nyssa, OR 97913