Application For Employment

The City of Lindsborg is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent with the Americans with Disabilities Act, applicants may request accomodations needed to participate in the application process.

Please complete and submit the application form below.

(Name, Location, Last Year Completed)
(Name, Location, Last Year Completed)
(Name, Location, Last Year Completed, Degree)
(Name, Location, Last Year Completed, Degree)
(Computer, Driver's License, etc)
List your last four employers starting with the most recent first. Include Name, Address of Employer, Start & End Dates, Salary (upon leaving), Position and Reason for Leaving.
List three persons not related to you, whom you have known at least one year. Include Name, Address, Position and Years Aquainted.
I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the City of Lindsborg. I understand that any employment is conditioned on a background check. I authorize the City of Lindsborg to thoroughly investigate all statements contained in my applicaiton or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the City of Lindsborg, without giving me prior notice of such disclosure. In addition, I release the City of Lindsborg, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation of disclosure.
If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the City of Lindsborg and as permitted by law. I consent to such examiniations and tests, and I request that the examining doctor disclose to the City of Lindsborg the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the City of Lindsborg Drug and Alcohol Policy. I understand that filling out this form does not indicate there is a position open and does not obligate the City of Lindsborg to hire. If hired, I agree to abide by all City of Lindsborg work rules, policies, and procedures. The City of Lindsborg retains the right to revise its policies or procedures, in whole or in part, at any time.