Employment Application Form

* = required field.
Applicant Information
   








If yes, email a copy of DD214 (separation papers) to hrdirector@huronsd.com or mail to:
Human Resources
PO Box 1369
Huron, SD 57350


Position / Job Information




Education and Training (The information provided on the following pages will determine your qualifications for this position. Be as thorough as possible in describing your education and work experience. Vague or incomplete answers will not be interpreted in your favor.)

   

   

   


Related Work Experience


Previous Employment (List last four employers starting with most recent)

   

   

   


Unemployment (List All Periods Of Unemployment)
   

References (please list three professional references)
   
   

Disclaimer and Digital Signature

I hereby certify that this application is complete to the best of my knowledge for the periods of employment listed and all information given is true and contains no misrepresentations. I am aware that all statements submitted on this application are subject to investigation and verification. I understand that any withholding of information, misrepresentation or falsification of statements on this application or on city medical forms could result in rejection for employment, or if employed, termination from the city at any time.

I authorize and release from liability all employers, persons, schools, law enforcement agencies and other organizations to provide information requested by the City of Huron in its processing of this application.

I also understand that nothing in this application or in the granting of an interview is intended to create an employment contract. I have received no promise regarding employment and I understand that no such promise or guarantee is binding on the City of Huron. If an employment relationship is established, my employment is at-will and I understand that I have the right to terminate my employment at any time and that the City of Huron has a similar right.

YOU MUST SIGN THIS APPLICATION – UNSIGNED APPLICATIONS MAY BE DISQUALIFIED.

The City of Huron, in accordance with state and federal laws, does not discriminate on the basis of age, race, color, ancestry, national origin, creed, religion, sex, marital status, disability or political affiliation. The City of Huron fully subscribes to the provisions of the American With Disabilities Act and will attempt in its employment process to make any reasonable accommodations necessary to assist qualified persons with disabilities.

City of Huron
Permission to Research Driving History,
Sexual Offender Registry & Criminal Background

I, , do hereby authorize a review of and full disclosure of vehicle operator license status, driving history records, sexual offender registry and criminal history records concerning myself to any duly authorized agent of the City of Huron whether the said records are public, private or confidential.

The intent of this authorization is to give my consent for full and complete disclosure of my vehicle operator license status and driving history. I understand that any information obtained during the investigation of my vehicle operator license status and driving history records, which is developed directly or indirectly, in whole or in part upon this release authorization, may be considered in determining my suitability for employ by the City of Huron.

The intent of this authorization is to give my consent for full and complete investigation of my criminal history records. I understand that any information obtained during the investigation of my criminal history records, which is developed directly or indirectly, in whole or in part upon this release authorization, may be considered in determining my suitability for employ by the City of Huron.

If this position involves working with or around minor children, then the intent of this authorization is to give my consent for investigation of any pertinent history that may be shown in the county and state sexual offender registry.

If this position requires the operation of a vehicle controlled by Commercial Drivers License (CDL) regulations, I hereby authorize full disclosure of my previous drug and alcohol testing results from past employers where I participated in a federally mandated drug and alcohol testing program controlled by the US Dept. of Transportation, Federal Highway Administration. This permission includes the right for the City of Huron Drug/Alcohol Program Manager to discuss my drug and alcohol testing history with representatives of previous employers – as permitted by federal regulations. Any information discussed related to Federal Motor Carrier Controlled Substances and Alcohol Use and Testing regulations will be held as confidential information for the use of the City Drug/Alcohol Program Manager.

I also certify that any person(s) who may furnish such information concerning me shall not be held accountable for giving this information. I do hereby release said person(s) from any and all liability that may be incurred as a result of furnishing such information.

Witness to applicant signature: If applicant is 17 years of age or under, then a parent or legal guardian must witness the applicant's signature.

Attach Resume

Allowed file extensions: pdf,doc,docx,wpd

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