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If you need assistance filling out this application form or for any phase of the employment process, please notify the person that gave you this form and every effort will be made to accommodate your needs in a reasonable amount of time.
1.) Please read “APPLICANT NOTE.”
2.) If more space is needed to complete any Questions, a space to upload a separate document is provided at the end of this form.
3.) As an option the City of Romulus does provide an AFFIRMATIVE ACTION QUESTIONNAIRE on our site as part of the application process. This information is being gathered for Affirmative Action under Section 503 of the Rehabilitation Act of 1973. The information requested is voluntary and will be kept confidential. An applicant will not be subject to any adverse treatment for refusing to complete the questionnaire.
4.) THE CITY OF ROMULUS RESERVES THE RIGHT TO REJECT INCOMPLETE APPLICATIONS.
APPLICANT NOTE: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Additional testing of job related skills and for the presence of drugs in your body may be required prior to employment. In accordance with the provisions of the Americans with Disabilities Act, the city of Romulus may require job applicants to undergo a medical and/or psychological examination after an offer of employment has been made, and prior to the commencement of employment duties, and may condition the offer of employment on the results of such examination(s).
If not currently licensed, please indicate that you understand that being enrolled in Paramedic classes upon hire and obtaining Paramedic certification within two years of employment is a requirement of maintaining employment with the City of Romulus.
I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize the city and/or its agents, including consumer reporting bureaus, to verify any of this information including but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal and recreational drugs is prohibited during employment and that the City has a Zero Tolerance Drug Policy. If city policy requires, I am willing to submit to drug testing to detect the use of illegal and recreational drugs prior to and during employment. Furthermore, I agree that any lawsuit against the City of Romulus and/or its agents arising out of my employment application or employment or termination of employment, including, but not limited to claims arising out of State and Federal civil rights statues, must be brought within time limits or forever be barred: (a) for a lawsuit requiring a notice of right to sue from the EEOC, within 90 days after the EEOC issues that notice, or (b) for all other lawsuits within (i) 180 days of the event(s) giving rise to the claim, or (ii) the time limit specified by statues, whichever is shorter. I waive any statute of limitations that exceed these time limits.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
To Whom It May Concern:
I hereby authorize any representative of the City of Romulus bearing this release to obtain information from your files or other sources pertaining to my personal background including, but not limited to, academic, athletic, achievement, attendance, or personal history, disciplinary action, credit or any other records you may have regarding me. I hereby direct you to release such information upon the request of the bearer. This release is executed with the full knowledge and understanding that this information is for the official use of the City of Romulus. I hereby release you, the institution or establishment which you represent including its officers, employees, and related personnel both individually and collectively, from any and all liability for damage of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information, or any attempt to comply with it. Should there be any question as to the validity of this release, you may contact me as indicated below:
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