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City of Patterson

AN EQUAL OPPORTUNITY EMPLOYER

It is our policy to comply fully with all federal, state and local equal employment opportunity laws. This organization provides equal employment and advancement opportunities for all persons regardless of race, creed, sex, national origin, age, religion, disability, marital status, sexual orientation or any other classification protected by law.

Employment Application

Full Name(*)
Please type your full name.

Social Security Number(*)
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E-mail
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Address, City, State, Zipcode(*)
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Home Telephone
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Daytime Telephone
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Message Contact
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Are You At Least 18 Years Old?(*)
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Other Names You Have Used
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Position Applying For
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Salary Requirements
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Referred For This Position By
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Date Available
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Have You Ever Been Employed By This Organization?
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When?
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Department
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Supervisor
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Reason For Leaving
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Have You Ever Been Convicted Of A Felony?(*)
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If Yes, Give location, date, discharge and disposition of case(s):
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I Have A Valid Drivers License(*)
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Drivers License Number:
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State
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Can You, If Hired, Submit Verification Of Your Legal Right To Work In The United States?
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Military History


If you have served in the US Military, please provide the following information:

Branch Of Service
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Dates Served Description

From
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To
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Type Of Discharge
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Education


High School
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City, State
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Years Completed
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Community,Junior College, Business or Trade School
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City, State
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Years Completed
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Units Completed
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Degree
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Major
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College or University
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City, State
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Years Completed
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Units Completed
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Degree
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Major
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Graduate School
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City, State
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Units Completed
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Degree
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Employment History


List your most recent employer first, including US Military Service and unpaid or volunteer work.
Base salary does not include overtime, bonuses, or commissions.

#1

From (Month/Year)
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To (Month/Year)
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Years Employed
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Months Employed
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Your Position
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Employer
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Your Supervisor
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Employer Address
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Employer Phone Number
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Type of Business
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Reason For Leaving
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Base Salary Start
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Base Salary Final:
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Invalid Input


Other Compensation , Bonuses
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Brief Description of Your Duties & Responsibilities
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#2

From (Month/Year)
Invalid Input
To (Month/Year)
Invalid Input

Years Employed
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Months Employed
Invalid Input

Your Position
Invalid Input

Employer
Invalid Input

Your Supervisor
Invalid Input

Employer Address
Invalid Input

Employer Phone Number
Invalid Input

Type of Business
Invalid Input

Reason For Leaving
Invalid Input


Base Salary Start
Invalid Input

Base Salary Final
Invalid Input

Invalid Input


Other Compensation , Bonuses
Invalid Input

Brief Description of Your Duties & Responsibilities
Invalid Input


#3

From (Month/Year)
Invalid Input
To (Month/Year)
Invalid Input

Years Employed
Invalid Input

Months Employed
Invalid Input

Your Position
Invalid Input

Employer
Invalid Input

Your Supervisor
Invalid Input

Employer Address
Invalid Input

Type of Business
Invalid Input

Reason For Leaving
Invalid Input


Base Salary Start
Invalid Input

Base Salary Final
Invalid Input

Invalid Input


Other Compensation , Bonuses
Invalid Input

Brief Description of Your Duties & Responsibilities
Invalid Input


References


#1

Name
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Address, City, State, Zipcode
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Daytime Phone
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Relationship
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#2

Name
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Address, City, State, Zipcode
Invalid Input

Daytime Phone
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Relationship
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Emergency Contact


Name
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Address
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Home Phone Number
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Business Phone
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FAIR CREDIT REPORTING ACT- DISCLOSURE AND AUTHORIZATION STATEMENT:

TO: All Applicants for Employment

In processing my application for employment, I understand the employer, its representatives, employees or agents may obtain a consumer report and investigative consumer report for employment purposes concerning my past employment, work habits, education, military record, motor vehicle record, credit background, references, character, general reputation, personal characteristics, mode of living, civil judgments, liens, and information about my criminal conviction background consistent with state and federal law. I understand that upon written request to the employer, I will be informed whether an investigative consumer report through a consumer reporting agency was requested and I will be given information as to the nature and scope of the investigation and a summary of my right under the Fair Credit Reporting Act. I understand and investigative consumer report is a report in which information concerning my character, general reputation, personal characteristics or mode of living is obtained through personal interviews with neighbors, friends, associates, or others with whom I am acquainted or who may have knowledge concerning this information. By signing below, I authorize this prospective employer to obtain a consumer report and an investigative consumer report on me as part of the pre-employment background and investigation process. If I am offered employment, I further authorize my employer to obtain additional consumer and investigative consumer reports and updates on me for employment purposes at any time during my employment. A copy of this authorization is as valid as the original.

News & Announcements

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General payments

 

City Council Meetings

City Council meetings are at 6:00 p.m. on the 1st Tuesday of every month.

Planning & Zoning Meetings

P & Z meetings are at 6:00 p.m. on the last Monday of every month.

 

Email Bill

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Contact Details

City Hall
1314 Main St.
P. O. Box 367
Patterson, LA 70392

Office: (985) 395-5205
Fax:    (985)-395-8305


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