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City of Sherwood
Office of Human Resources
2199 E Kiehl Avenue. Sherwood, AR 72120
Phone: 501-833-3703
Fax: 501-392-0087
hrinfo@cityofsherwood.net
Application for Employment
The City of Sherwood is an equal opportunity employer. We do not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or any other characteristic protected by law. If you need assistance completing this application or any forms or to otherwise participate in the application process, please see a human resources representative.
All applicants selected for a position with the City of Sherwood will be required to complete a drug test and background check.
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General Information

Full Name (Please include first, middle, and last name).*
Today's Date*
Today's Date
Address*
City*
State*
Zip Code*
Contact Number*
Email Address
Are you legally authorized to work in the United States?*
1. Yes
1. No
Are you at least 18 years of age? *
1. Yes
1. No - You may be required to submit further information).
Are you related to anyone working for the City of Sherwood?*
1. Yes
1. No
If yes, please state name(s)
How were you referred to the City of Sherwood*
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Position Information

Salary Range Desired*
Type of Work Desired
1. Full-Time
1. Part-Time
1. Seasonal
Please list the position(s) for which you are applying.
Position 1*
Position 2
Position 3
Position 4
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Educational History

High School or G.E.D. Equivalent
School Name & Location
Highest Grade Completed
College or University
School Name & Location
Did you earn a degree?
1. Yes
1. No
What degree did you earn?
Vocational or Trade School
Highest Grade Completed
Course of Study or Major
Graduate School
School Name & Location
Did you earn a degree?
1. Yes
1. No
What degree did you earn?
Other (Including Military Training)
School Name & Location
Highest Grade Completed
Course of Study or Major
List any work-related certifications or licenses you currently possess.
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Background Information

Have you ever been discharged, suspended, or asked to resign from any position?*
1. Yes
1. No
If yes, please explain.
For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any of the organizations you have listed?
1. Yes
1. No
If yes, please specify name(s).
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Employment History- Please state your last 3 employers, starting with the most recent one.

Current Employer*
Address
Position*
Pay Rate*
Primary Responsibilities*
Phone Number
Employment Dates*
Employment Dates Start Date
—
Employment Dates End Date
Reason for Leaving*
Supervisor's Name
May We Contact?*
1. Yes
1. No
Previous Employer
Address
Position
Pay Rate
Primary Responsibilities
Phone Number
Employment Dates
Employment Dates Start Date
—
Employment Dates End Date
Reason for Leaving
Supervisor's Name
May We Contact?
1. Yes
1. No
Previous Employer
Address
Position
Pay Rate
Primary Responsibilities
Phone Number
Employment Dates
Employment Dates Start Date
—
Employment Dates End Date
Reason for Leaving
Supervisor's Name
May We Contact?
1. Yes
1. No
Upload Resume
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Additional Comments

Please comment on how your prior education and experiences qualify you for the type of employment you are seeking. Detail any past responsibilities and achievements. Note any special coursework, honors, activities, special projects or any other data that will assist us in considering your application for employment.
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Authorization

I understand, where permissible under applicable state and local law, I may be subject to pre– employment drug testing after receiving a conditional offer of employment, and must receive a negative result for illegal drugs before being permitted to commence work with the City of Sherwood.
By checking this box, I authorize my initials.
1. Agreement
I understand, where permissible under applicable state and local law, I may be subject to pre– employment Medical examinations after receiving a conditional offer of employment, and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with the City of Sherwood.
By checking this box, I authorize my initials.
1. Agreement
I hereby certify that the information given by me is true in all respects. I authorize the City of Sherwood and its representatives to contact my prior employers and all others for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other person named on this application to provide any information or transcripts requested.
By checking this box, I authorize my initials.
1. Agreement
I certify, under penalty of perjury, that all the above information is true and complete, and I understand that any falsification or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time lapse before discovery.
By checking this box, I authorize my initials.
1. Agreement
Signature*
1. Signature
Checking the signature box is evidence that I have read and agree with the above statements and all pages included in this application for employment.
Date*
Date

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Application for Employment

Steps

Step One

Office of Human Resources

2199 E Kiehl Avenue. Sherwood, AR 72120

Phone: 501-833-3703

Fax: 501-392-0087

hrinfo@cityofsherwood.net

General Information

Position Information

Educational History

Background Information

Employment History- Please state your last 3 employers, starting with the most recent one.

Additional Comments

Authorization

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