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2. City of Ocean Springs Employment Application
   • Read carefully and follow all instructions. Failure to follow instructions may result in disqualification.
   • Completion of the Employment Application is required, even if you include your resume.
   • If a deadline is posted, it applies to when the Application is received by the Human Resources Department, not the date mailed, completed, or submitted to any department other than Human Resources. Applications received by Human Resources after the deadline, regardless of postmark, will be kept on file for one year for eligibility for future openings of that position/test, but will not be eligible for the current position/test.
4. Last Name
5. First Name
6. Middle Initial
8. Phone Number
9. SSN
10. Email Address
12. Current Mailing Address
13. City
14. State
15. Zip
17. Additional Information
19. Position Applying for:
    -- Select One --Community Development Director
21. Are you at least 18 years old?

    1. Yes
    2. No
23. Are you a citizen of the United States?

    1. Yes
    2. No
25. Are you legally eligible to work in the United States?

    1. Yes
    2. No
27. Can you provide evidence, if hired, of your work eligibility?

    1. Yes
    2. No
29. License Number
30. License State
31. Expiration Date
    Expiration Date
32. Class or Endorsements
34. Have you ever been convicted of a crime or pleaded ‘no contest’ to a crime?

    1. Yes
    2. No

36. NOTE: A conviction does not necessarily disqualify one for employment.

38. If yes, what charge(s)?
39. Year
40. City and State
41. Status/Result
43. 1. Felony
    2. Misdemeanor (including DUI or DWI, but not including minor traffic violations)
45. Have you ever been employed by the City of Ocean Springs?

    1. Yes
    2. No
47. If yes, which department?
48. Year started
49. Year ended
51. Employment History

    Start with your current or most recent job and list all employment (including FT, PT, temporary, and any periods of unemployment) for the last 10 years, at a minimum. Complete all sections of this form; you may attach your résumé to provide more detail. Do not leave any blanks.

53. May we contact your current or most recent employer?

    1. Yes
    2. No
55. Current/Latest Employment
57. Employer/Company Name
58. Month and year started
    Month and year started
59. Month and year ended
    Month and year ended
61. Reason for leaving
63. Type of business
64. Location of business (city and state)
65. Salary/Pay Rate Per Hour/Year
67. Hourly/Salary?

    1. Hourly
    2. Salary
69. Your Job/Position Title
70. Your primary job duties
72. Total number of months in this job/position
74. Supervisor Name
75. Supervisor Phone Number
77. Second Latest Employment
79. Employer/Company Name
80. Month and year started
    Month and year started
81. Month and year ended
    Month and year ended
83. Reason for leaving
85. Type of business
86. Location of business (city and state)
87. Salary/Pay Rate Per Hour/Year
89. Hourly/Salary?

    1. Hourly
    2. Salary
91. Your Job/Position Title
92. Your primary job duties
94. Total number of months in this job/position
96. Supervisor Name
97. Supervisor Phone Number
99. Third Latest Employment
101. Employer/Company Name
102. Month and year started
     Month and year started
103. Month and year ended
     Month and year ended
105. Reason for leaving
107. Type of business
108. Location of business (city and state)
109. Salary/Pay Rate Per Hour/Year
111. Hourly / Salary?

     1. Hourly
     2. Salary
113. Your Job/Position Title
114. Your primary job duties
116. Total number of months in this job/position
118. Supervisor Name
119. Supervisor Phone Number
121. Education and Training

     List your high school, GED, and formal education beyond high school.

123. Name of High School
124. City and State
126. Graduated?

     1. Yes
     2. No
128. GED Completed?

     1. Yes
     2. No
130. Name of University or College
131. City and State
133. Degree Completed?

     1. Yes
     2. No
135. Currently Attend?

     1. Yes
     2. No
137. Major or Emphasis
138. GPA
139. If Completed, Degree (AS, BBA, MS etc.)
141. List any additional training, licenses, and/or skills that you feel are relevant to the job for which you are applying. (255 character limit)
143. References

     Do not list anyone related to you. Do not list any elected official of the City of Ocean Springs. List three persons you have known for at least one year, and provide current contact information.

145. Name
146. Phone
147. City and State
148. Number of years known
150. Name
151. Phone
152. City and State
153. Number of years known
155. Name
156. Phone
157. City and State
158. Number of years known
160. How did you learn of this position?

     1. City Website
     2. Walk-In
162. Equal Opportunity

     The City of Ocean Springs encourages Employment Applications from qualified candidates without regard to race, color, sex, age, disability status, marital status, national origin, ancestry, political affiliation or beliefs, religious affiliation or beliefs, or any other legally protected status.

164. Applicant’s Statement and Certification
     • I understand that this application is valid for 12 months for the position selected on Page One. I also understand that this application, any attachments, and test papers become the property of the City of Ocean Springs (the City) upon submission and will not be returned to me, the applicant.
     • I understand that possession of the minimum qualifications does not ensure that I will be invited to the next phase of the process. Likewise, I understand that completing and passing City testing (if applicable) does not guarantee that I will receive an interview or an offer of employment.
     • I understand that I must bring and show a valid government-issued photo ID for positive identification for employment testing.
     • I understand that hiring and compensation decisions are contingent upon the approval of the City of Ocean Springs Board of Aldermen.
     • I understand that, per Civil Service Rule 20, any person employed by the City of Ocean Springs shall reside within a 50-mile radius of the City of Ocean Springs within the first six months of employment.
     • I understand that, per Miss. Code Ann. 21-31-15 (2011), all applicants for a position of any kind under civil service must be a citizen of the United States and an elector of the county in which he/she resides.
     • I understand that the City of Ocean Springs is a drug-free workplace and that the City requires post-offer drug/alcohol testing prior to employment, and conducts post-accident, reasonable suspicion, and random drug/alcohol testing during employment.
     • I understand that the City of Ocean Springs participates in the Department of Homeland Security E-Verify program and that, upon hire, all new employees must verify identity and entitlement to work in the United States by providing the required original documentation. I understand that my identity and employment eligibility will be verified if I am offered and accepted employment.
     • I understand that all employees are hired as probationary ‘at-will’ employees, meaning that employment may be terminated at any time with or without cause; that employees on new-hire probation are not covered by civil service; and that successful completion of the new-hire probationary period by full-time employee results in civil service status, but does not guarantee the continuation of employment. I also understand that part-time and temporary positions are always ‘at-will’ and do not obtain civil service status.
     • I understand that if I am offered and accept employment with the City, then I am required to abide by the rules and regulations of the City of Ocean Springs.
     • I certify that the answers given by me in this Application and any attachments are true and complete to the best of my knowledge and belief. I understand that any misstatement or omission of fact in this Application or in any document used to obtain employment may result in rejection of this Application, removal from any employment list, disqualification from future consideration for employment, and/or immediate termination of employment, regardless of the time elapsed before the discovery of the misstatement or omission.
     • I understand that all answers and information are subject to investigation and verification.
     • I acknowledge that I have read and understand this statement and the instructions throughout this Application.
166. eSignature of Applicant
167. Date
     Date
169. Authorization for Inquiry and Release of Information

     Having made an application for employment with the City of Ocean Springs, I hereby authorize the City to research and make inquiries of my history and records including financial, academic, military, employment, judicial, criminal, and driving records, personal references, and/or online social networking pages. I further authorize the release of all such information to the City, and I agree that such organizations, persons, and others shall not be held liable for such information or damages that may result from furnishing the information requested. I understand my rights under the Privacy Act of 1974, with regard to access and disclosure of records, and I waive these rights with the understanding that the information furnished will be used by the City of Ocean Springs for the application and employment process. 

     This authorization will be valid whether as an original, a photocopy, or a fax copy and remains valid for one year after I sign. Upon request, a copy of this signed authorization may be furnished to the school, present or former employer, present or former landlord, criminal justice agency, or other persons and organizations asked to provide information.

171. Physical Address, (if different from mailing address) City, State, Zip
173. Previous Address, (if less than two years at current address) City, State, Zip
175. Have you ever worked or attended school under any other name?

     1. Yes
     2. No
177. If yes, what name(s)
179. Enter name(s) here
181. eSignature of Applicant for Inquiry

183. Please contact us if you have any questions or need assistance with the Application.

185. Upload Your Resume Here - You may upload more than one document at a time.
187. Upload Resume

189. We encourage you to check our Employment Opportunities webpage regularly. Applications are accepted even if no vacancies exist.

     Thank you for your interest in employment with the City of Ocean Springs.

Leave This Blank:


191. 1. Receive an email copy of this form.
192. Email address

     This field is not part of the form submission.

193. Submit

* indicates a required field