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Upon hire you will be required to provide proof of eligibility.
For example: second language, machine operation, etc.
This EEO Survey will be detached from the application and kept separately. It will not be used as a basis for making employment decisions. To help the City of Milford meet its Equal Employment Opportunity goals and objectives, and in order to comply with various government requirements, please mark the appropriate identification categories below. The survey describes identification categories in detail. Providing this information is voluntary and your application will not be adversely affected if you respond or decline to respond. This information will be used only in accordance with federal laws and regulations.
American Indian/Alaskan Native: A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black/African American: A person having origins in any of the Black racial groups of Africa.
Native Hawaiian/Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Hispanic/Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment. I understand that the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests. Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Include Street, PO/Apartment Number, if applicable
Include area code
By my signature below, I acknowledge that I have been informed that the Delaware Justice Information System will NOT permit me to access computers connected to their network if I have been convicted of a felony. I understand that access to the Delaware Criminal Justice Network is mandatory for the employment that I am seeking. I understand that the Milford Police Department will be conducting a thorough criminal history check through National Databases maintained by the Federal Bureau of Investigation to verify the absence of any felony arrest or arrests for crimes of dishonesty in ANY State or Territory of the United States. I hereby release the City of Milford, its agents, employees, and assigns from any and all liability for conducting this required inquiry into my criminal history and understand that the Milford Police Department will not release this information to anyone outside the law enforcement community. I also acknowledge that I am providing my social security number as a supplemental form of identification only. I also understand that information acquired through this process will be used to evaluate my eligibility for employment. Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
This field is not part of the form submission.
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