500 Center Ave., Box 779, Moorhead, MN 56561
Seasonal
Application For Employment
 

City of Moorhead applications are required in order to be considered for any open position with the City. Applications must be completed in full; applications that are blank or state ‘See Resume’ will be deemed incomplete and will not be accepted.
NAME
Last First Middle
ADDRESS
Street City State Zip
PHONE / EMAIL
(Cell) (E-Mail Address)
Are you 18 years old or over?         If not, please state your date of birth

EDUCATION
High School:

 
Select: or
College/Vocation:

 
Degree:

Please check the temporary/seasonal position(s) for which you are applying.
ALL CITY TEMPORARY/SEASONAL POSITIONS
Green: Spring/Summer Positions Blue: Fall/Winter Positions Black: All Year Round Positions
RECREATION



















































FORESTRY


GOLF COURSES





PARK MAINTENANCE















SANITATION



STREETS



WASTEWATER/ENGINEERING


OTHER
    
If you selected more than one position, please rank the positions in order of interest.

How many hours each week are you available for work?
 



WORK HISTORY


Current/ Most Recent Employer
Dates of Employment:
From To
Total Years:    Total Months:
Address City State Zip Code
Reason for Leaving:
Position Title:
Last Salary:
Supervisor's Name:
May we contact this person?
 
Supervisor's Title:
Telephone:
Primary Responsibilities:


Prior Employer
Dates of Employment:
From To
Total Years:    Total Months:
Address City State Zip Code
Reason for Leaving:
Position Title:
Last Salary:
Supervisor's Name:
May we contact this person?
 
Supervisor's Title:
Telephone:
Primary Responsibilities:



EXPERIENCE


Describe any past training or experience; paid or unpaid, that has prepared you for this job:
Please list any certifications that would be applicable to this position:
Please list experience with equipment or machines that would be applicable to this position:
 
Do you have a valid drivers license? Do you have a Class B license?
   
Have you previously worked for the City of Moorhead? 
If yes, what position? 


I understand that nothing in this employment application is intended to lead to or create an employment contract between the City of Moorhead and myself. I further understand and agree that the City or myself may terminate the employment relationship that may result from my application at any time.

**Please sign and date your application. You must also fill out the attached Addendum to Application of Employment, Veteran's Preference form.


Date: 

 



ADDENDUM TO For Office Use:
APPLICATION OF EMPLOYMENT Job Title:_______________
CITY OF MOORHEAD Date Rec'd:_____________
Initials:_________________


VETERAN'S PREFERENCE

The following summarizes the major points of M.S. 43A.11 as amended, which now governs the granting of veteran’s preference at both the state and local levels. This chapter may be ordered from the Documents Section, Department of Administration, 117 University Avenue, St. Paul, Minnesota 55155.

 

A. General Requirements: Applicants must meet all of the following to qualify for any preference points:

1)       Meets qualifications of position and/or received final passing score in the exam process without addition of preference points.

2)       Separated under honorable conditions from any branch of the armed forces of the United States.

3)       Served on active duty for 181 consecutive days or more or was separated by reason of disability incurred while serving on active duty.

4)       Is a United States citizen.

5)       Is not eligible for or currently receiving a monthly veteran’s pension benefit based on length of military service.

 

B. Points Granted:

1)       Ten (10) points granted to a non-disabled veteran who meets all of the General Requirements.

2)       Ten (10) points granted to spouse (if not remarried) of a deceased veteran who meets all of the General Requirements.

3)       Fifteen (15) points granted to a disabled veteran who meets all of the General Requirements if:

a)       the veteran has a compensable service-connected disability as judged by the United States Veterans Administration or by the Retirement Board of the Branches of the Armed Forces.

b)      the disability exists at the time preference is claimed.

4)       15 points granted to the spouse of a disabled veteran who meets all of the General Requirements and the requirements listed in 3 above, but who is unable to qualify because of the disability.


VETERAN'S PREFERENCE DECLARATION

DIRECTIONS: Complete either item number 1 or item number 2 below; sign, and insert this form into the completed

application form.

 

1. I am eligible to receive preference points. I certify that I am eligible to receive the preference so declared

based on my understanding of the provisions of Minnesota Statutes 43A.11. I further certify that I served in

the following branch of the armed forces of the United States: on active

duty for 181 or more consecutive days from:  to  

 

and was separated under:

                          

                          

(Please include a copy of your DD #214)

 

I am not eligible for or currently receiving a monthly veteran’s pension benefit based exclusively on length of

military service.

 

If I have declared ten (15) preference points, I hereby certify that I am a disabled veteran with a compensable

service connected disability as judged by the U.S. Veteran’s Administration or by the retirement boards of the

branches of the armed forces, that the disability exists at this time, and that the disability would not, to the best of

my knowledge, prevent me from completely performing essential functions of the position I have applied for.

 

DATE:  
NAME:

 

 

2. I do not claim veteran’s preference points.

DATE:
NAME:
Please return completed form with application.

 

 



 
Attach Cover Letter
Attach Resume
 
Before submitting your application, make sure your cover letter/resume are still selected.