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Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Commission Chambers -- City Hall (map)

 

Rome City Job Application

The online application is now online.  For your convenience, we have also included a link to download a printable version: 

  Rome City Job Application - Please fill out form, save, and email to: hrjobs@romega.us

  Nepotism Policy: Please read

Rome City Job Application

 

First Name  
Middle Name  
Last Name  
Email  
Telephone: (706)555-5555  
Address (Line 1):  
Address (Line 2):  
City:  
State:  
Zip + 4:  
I am applying for job posting: (Please review job requirements in Job Posting)
 
If other, describe:  
Are you a U.S. Citizen?
 
If not a U.S. citizen, have you the legal right to remain permanently in the U.S.?
 
Have you the legal right to work in the U.S.?
 
Type of Visa:  
Have you ever been convicted of a felony? (For Public Safety positions only - Fire, Police, Corrections)
 
If yes, give details:  
Type of Employment you want:
 
Date Available: (mm/dd/yyyy)  
Minimum Salary Required:  
Are you under 18 years of age?
 
Do you understand employment may require working weekends, holidays, overtime, and rotation of shifts as required by department needs?
 
Do you have any relatives working for the City of Rome?
 
Name(s) & Relationship:  
Have you been previously employed by the City of Rome?
 
If yes, when and in what position?  
Do you have computer experience?
 
If yes, list computer programs:  
Do you have a current driver's license?
 
State:  
Class:  
Expiration Date:  
Have you ever had any license, permit, or privilege to operate a motor vehicle denied, revoked, or suspended?
 
If yes, explain:  
Have you been involved in an accident during the past 3 years?
 
Describe:  
Have you been convicted of violations of motor vehicle laws or ordinances (other than parking) in the last 3 years?
 
Describe:  
Type of equipment used:




 
If other, describe:  
Have you ever been denied a Medical Examiner's Certificate in accordance with the Motor Carrier Safety Regulations (49 CFR-39141)?
 
Educational History  
Last School Year Completed:  
High School  
Name of School  
Address  
Last Calendar Year Attended  
Graduate?
 
Type of Degree or Diploma  
Major  
Undergraduate College  
Name of School  
Address  
Last Calendar Year Attended  
Graduate?
 
Type of Degree or Diploma  
Major  
Graduate College  
Name of School  
Address  
Last Calendar Year Attended  
Graduate?
 
Type of Degree or Diploma  
Major  
Additional Schools (College, Technical, Trade, etc.)  
Name of School  
Address  
Last Calendar Year Attended  
Graduate?
 
Type of Degree or Diploma  
Major  
If your occupation requires Georgia State Certification, complete the following:  
Certification Number:  
Expiration Date:  
References  
Please list at least two persons who have known you for at least two years (not relatives or employers).  
Name:  
Occupation:  
Address:  
Telephone: (706)555-5555  
Name:  
Occupation:  
Address:  
Telephone: (706)555-5555  
Name:  
Address:  
Occupation:  
Telephone: (706)555-5555  
Work History  
List your three (3) most recent and relevant positions held. Accuracy of dates and addresses is essential.  
1. Present or Last Employer  
Employer Name:  
Address:  
Telephone: (706)555-5555  
Position Held:  
Salary:  
Duties (Explain Fully):  
Reason for Leaving:  
Employed From:  
Employed Until:  
Are you employed now?
 
May we contact your present employer concerning your employment with them?
 
Immediate Supervisor (Name and Title):  
2. Previous Employer  
Employer Name:  
Address:  
Telephone: (706)555-5555  
Position Held:  
Duties (Explain Fully):  
Reason for Leaving:  
Employed From:  
Employed Until:  
Immediate Supervisor (Name and Title):  
3. Previous Employer  
Employer Name:  
Address:  
Telephone: (706)555-5555  
Position Held:  
Duties (Explain Fully):  
Reason for Leaving:  
Employed From:  
Employed Until:  
Immediate Supervisor (Name and Title):  
Emergency Contact  
Where did you hear about (be specific) this position?  
Comments  
Would you like to share additional comments or information with the City?  
By checking the box, I am attaching my electronic signature and I affirm all information submitted herein is complete and accurate to the best of my knowledge.  
Notice - Wait one business day and call 706-236-4450 to verify your application has been received.  
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