Describe work history beginning with your current or most recent employer. Include applicable volunteer experience and explain any
breaks in employment. Failure to provide complete information regarding any job may result in disqualification of your application.
A resume may be attached only as additional information and will not be accepted in lieu of completing this section. Please include in this section: Employer Name, Phone, Address, Dates Employed, Position Held, Supervisor, Ending Salary, Reason for Leaving, Description of Duties.
Must also complete above description with all required information.
Comment on any additional skills, experience or accomplishments that relate to the position for which you are applying. Some
examples are skills with machinery or equipment, writing or public speaking skills, membership in professional organizations, etc.
Employment Application Agreement
Please read the following statement carefully before signing application:
I hereby declare the information provided by me in this application to be true and complete. I understand that
incorrect information, omissions of fact, or falsification of any information on the application will be grounds
for refusal to hire, or if hired, grounds for termination.
I authorize the City of Santa Clara to request, receive and verify all information given in this application.
If I am employed by the City of Santa Clara, I agree to conform to the policies, rules and regulations governing
employment that have been adopted. It is acknowledged that these policies, rules and regulations may be
changed, interpreted, withdrawn or added to by the City at any time, at the City’s sole option.
As a condition of employment with the City, I will be required to submit to an alcohol and controlled substance
screening test. Additionally, if hired, I will abide by the City’s policy regarding the use of drugs and unlawful
possession of controlled substances. I will report any conviction under a criminal drug statute to the Human
Resources Department within five (5) days of the conviction