Welcome to the Official Website of New Brighton Minnesota - Employment Application

Application for Employment

We welcome you as an applicant for employment with the City of New Brighton, Minnesota. Your application will be considered with others in competition for the position in which you are interested. It is the policy and intent of the City of New Brighton to provide equal opportunity employment to all persons. This policy prohibits discrimination because of race, color, sex, national origin, political affiliation, place of residence, marital status, sexual preference, status with regard to public assistance or disability, as is consistent with the City’s policy of hiring a well-qualified person so as to maintain the high standards of public service required of all City employees. This policy applies to all phases of permanent and part-time employment. All information contained in or connected with this application will be considered personal and confidential and will be used only in conjunction with your possible employment by the City of New Brighton. Please furnish us with complete information as outlined in this application. You are encouraged to attach any additional information or materials, which you believe qualify you for the position for which you are applying.

Personal Information

*First Name

Middle Name

*Last Name

*Street Address

*City

*State

*ZIP Code

*Phone Number

*Email Address

*Are you over 18 years of age?

Yes

*Are you willing to work overtime if required?

Yes

*Are you a United States citizen, or if not, are you legally eligible to work in the United States?

Yes

What date are you available to start?

*Briefly describe why you are interested in this position.

Upload a Cover Letter

Upload a Resume

Drivers License Information

*Do you have a valid Drivers License?

Yes

Driver's License Number

State of Issuance

Class

Expiration

Education

How many years of education do you have?

Name of High School

Diploma or GED

High School Diploma

GED

College or University

Diploma, Degree, Certificate of Credits earned

Major

College or University

Diploma, Degree, Certificate of Credits earned

Major

Graduate School

Diploma, Degree, Certificate of Credits earned

Major

Employment History

Current or Previous Employer

Organization Name

Street Address

City

State

ZIP Code

Supervisor's name

Supervisor's phone number

May we contact this supervisor?

Yes

Employment start date

Employment end date

Final job title

Final wage or salary

Job duties

Reason for leaving

Previous Employer

Organization Name

Street Address

City

State

ZIP Code

Supervisor's name

Supervisor's phone number

May we contact this supervisor?

Yes

Employment start date

Employment end date

Final job title

Final wage or salary

Job duties

Reason for leaving

Previous Employer

Organization Name

Street Address

City

State

ZIP Code

Supervisor's name

Supervisor's phone number

May we contact this supervisor?

Yes

Employment start date

Employment end date

Final job title

Final wage or salary

Job duties

Reason for leaving

General Experience

Please list any computer software you can operate proficiently

Please list any office equipment you can operate proficiently

Please list any trades or apprenticeships you have practiced

Please list any relevant machinery or equipment you have experience operating

Please list any other courses, seminars, certifications, or any other relevant skills for this position

Supervisory Experience

*Have you ever supervised people?

Yes

*Have you ever interviewed candidates?

Yes

*Have you ever conducted performance appraisals?

Yes

*Have you ever disciplined employees?

Yes

*Have you ever hired or recommended for hire?

Yes

*Have you ever recommended salary adjustments?

Yes

*Have you ever terminated employees?

Yes

Military Experience

Have you served in any branch of the military?

Yes

Branch of service

Active duty start date

Active duty end date

Rank at discharge

Type of discharge

Please describe your duties and any special training

Veterans Preference

The City operates under a point preference system which awards points to qualified veterans and/or spouses of deceased or disabled veterans. Ten (10) preference points are granted for non-disabled veterans and widows of a deceased veteran at the initial selection phase or at the time of an open competitive examination, whichever is applicable. Fifteen (15) points are added if the veteran has a permanent service-connected compensable disability as certified by the Veteran’s Administration, is the spouse of a disabled veteran, or the widow of a deceased veteran who was disabled at the time of death. To qualify for preference, you must have served on active duty in any branch of the Armed Forces of the United States for 181 consecutive days or more and have been honorably discharged; you must be a citizen of the United States and currently not receiving a monthly veteran’s pension based exclusively on length of service; or be the spouse of a deceased veteran or of a disabled veteran who because of disability is unable to qualify. For promotional opportunities, ten (10) points are granted to disabled veterans only (50% disability required) and these points apply only to the first promotion after securing City employment.

Do you wish to claim a veteran's preference?

Yes

If yes, please select the type of veteran's preference below.

Veteran-Defined as a person separated under honorable conditions who has served on active duty for at least 181 days or honorably discharged by reason of disability incurred while on active duty. (10 Points)

Disabled Veteran-Defined as a Veteran having a compensable service-connected disability as adjudicated by the U.S. Veterans Administration or the retirement board of one of the branches of the Armed Forces, and which is currently existing. Must have an active service-related disability rating (not active duty for training) of 10 percent or greater. (15 Points)

Spouse of Disabled Veteran-Defined as a veteran who is unable to work in the specific position the spouse is applying for due to the nature of the veteran's service-connected disability rating of ten percent or greater. (15 Points)

Widow of a Deceased Veteran-Defined as a spouse of a veteran who dies in active-duty or as a result of an active duty injury. Spouse must not be remarried. (10 Points) Spouse of Disabled Veteran-Defined as a veteran who is unable to work in the specific position the spouse is applying for due to the nature of the veteran’s service-connected disability rating of ten percent or greater. (15 Points)

Widow of Deceased Veteran Who Was Disabled at Time of Death-Defined as a spouse of a veteran who was disabled at time of death, and died on active duty or as a result of an active-duty injury. Spouse must not be remarried. (15 Points)

DD214 Upload

You must also submit a copy of your DD214, letter from USDA verifying active duty disability, or any other military document that can substantiate the service information requested on the form. Claim not accompanied by proper documentation will not be processed. Note: This claim will be separated from your application during the recruitment process.

Volunteer Experience

Organization

Position

Supervisor's Name

Supervisor's Phone Number

Start date of participation

End date of participation

Skills learned

References

First Reference

Name

Relationship

Phone Number

Second Reference

Name

Relationship

Phone Number

Third Reference

Name

Relationship

Phone Number

Disclosures and Notices

Have you been employed by the City of New Brighton in the past?

Yes

If yes, what was your title?

If yes, how many years were you employed by the city?

Please list the name and relationship of any relatives currently working with the City of New Brighton

Background Checks

The City of New Brighton conducts criminal history background checks on all employees. Before any applicant (other than applicants for positions within the police or fire department) is rejected on the basis of criminal conviction, he or she will be notified in writing and will be given any rights afforded by Minnesota Statutes Chapter 364. This includes the right to show evidence of rehabilitation.

Sworn Police Positions

For sworn police positions, felony convictions (and certain other convictions mandated by the state licensing board for police) will automatically disqualify you from further consideration. For non-police positions, the City will look at the type of conviction and whether it is directly related to the job for which you are applying.

Statutes 299C.61 and 62

Candidates for positions working with children will not be selected if they have been convicted of any crime listed in the Child Protection Worker Act (Minnesota Statutes 299C.61 - 62). Generally this includes child abuse crimes, murder, manslaughter, felony level assault or any crime committed against a minor, kidnapping, arson, criminal sexual conduct, and prostitution related crimes.

Tennessen and Data Practices

The Minnesota Government Data Practices Act requires that you be informed of the purposes and intended uses of the information you provided to the City of New Brighton during the application process or during employment. Any information about yourself that you provide will be used to identify you as an applicant and to assess your qualifications for employment with the City. If you wish to be considered for employment, you are required to provide the information requested in the Application for Employment. If you refuse to supply information requested by the City, it may mean your application will not be considered. You are hereby advised that, under Minnesota law, the following information given by an applicant is considered to be public: veteran status, relevant test scores, rank on our eligible list; job history; education and training; work availability.As an applicant, your name is considered private until you are certified as eligible for appointment to a position or when applicants are considered by the appointing authority to be finalists for a position with the City of New Brighton. “Finalist” means an individual who is selected to be interviewed by the appointing authority prior to selection. The data concerning you, which is placed in your application folder or in your personnel file and which is not listed as public, is private. This private date will be shared with you and those members of the City staff who need it to process the application, update your personnel record, evaluate your work performance and if you are handicapped, provide the necessary accommodations. It may also be shared with the following: persons authorized to have access to the information under State or Federal law; persons authorized by Court Order to have access to the information; and persons to whom you consent in writing to have access to the information. With the exception of racial and ethnic data, the data you give us about yourself is needed to identify you and to assist determining your suitability for the position for which you are applying. Racial and ethnic data is used to monitor protected class employment and to meet Federal, State, and Local reporting requirements. Furnishing racial and ethnic data about yourself, as well as your social security number, is voluntary.I certify that answers herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this Application for Employment as may be necessary in arriving at an employment decision. I understand that this application is not, and is not intended to be, a contract for employment.In the vent of employment, I understand that false or misleading information given in my application, or interview(s), may result in discharge. I understand also, that I am required to abide by all rules and regulations of the City.I certify that I have read the “Notice to Application” regarding the Minnesota Data Practices Act (MN Statutes 1301-1390), and I understand my rights as a subject of date.

*By checking this box, I certify that I have read and understood all of the notifications presented to me in this form.

Signature and Date

*Signature

*Date

*Position Applying For

Application for Employment

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