Applicants who require reasonable accommodation for the application and/or interview process should notify the Assistant City Administrator.

Please list past employers beginning with your most recent employment.

Please provide the names of three business references who are not related to you. If you do not have any employment-related references, please list individuals who can comment on your work skills.

I certify that all of the information that I have provided in this employment application is accurate and complete. I further understand any false or misleading information provided by me in any application or interview(s) may result in rejection of my application or termination of employment.

I understand that the information contained in this employment application or my being invited to participate in any stage of the hiring process is not intended to create an employment contract between the City and myself. If an employment relationship is established, I understand that I have the right to terminate my employment at any time, for any reason or no reason, with or without notice and the City has the right to terminate my employment at any time, for any or no reason, with or without notice. The City’s policies and procedures including employment at-will, cannot be modified in any way without express written intent to do so by the City Council.

I understand that an offer of employment is contingent on providing sufficient documentation necessary to establish my identity and eligibility to work in the United States and the successful completion of a drug/alcohol test and pre-employment physical.

I understand that the City has a business-related need to evaluate my application for employment, and in so doing, to investigate my background and qualifications. I therefore authorize the City and any agent acting on its behalf to conduct such investigations and to request bona fide copies of documents, records or other information pertaining to me. I hereby authorize any individual, organization or institution to answer any questions and provide bona fide copies of documents, records or other information pertaining to me to the City and its representatives.

I hereby release the City and its representatives as well as prior employers, supervisors, company personnel and schools from any and all liability of whatsoever nature by reason of requesting or releasing such information, documents or records pertaining to me.

I acknowledge that I have read, understand and agree with all of the information provided in this form.

Agreement: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. By signing below, I accept the conditions of this application.

The Minnesota Government Data Practices Act requires that you be informed of the purposes of and intended uses of the information you provide to the City of Vadnais Heights during the application process or during employment. Any information about yourself that you provide to the City of Vadnais Heights during the application process 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 (other than race, and sex), 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
- Rank on our eligible list
- Education and training
- Relevant test scores
- Job history
- 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 Vadnais Heights. “Finalist” means an individual who is selected to be interviewed by the appointing authority prior to selection.

Race and sex data are used in summary form to comply with statutes and regulations regarding equal opportunity employment. Furnishing race and ethnic data about yourself, as well as your gender, is voluntary.

I certify that I have read the “Notice to Applicant” regarding the Minnesota Government Data Practices Act (MN Statute Chapter 13) and understand my rights as a subject of data.

Agreement: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. By signing below, I accept the conditions of this application.

Preference points are available to qualified veterans and spouses of deceased or disabled veterans to recognize the training and experience received while serving in the military (43A.11)

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, or have separated by reason of disability incurred while serving on active duty and have been honorably discharged; you must be a citizen of the United States or a resident alien and currently not receiving or eligible to receive 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.

As noted above, you must submit a copy of your DD214 or other military documents to substantiate the service information requested on the form. Claims not accompanied by proper documentation or received after the indicated close date will not be processed. Note: This claim form will be separated from your application during the recruitment process.

I hereby claim Veteran’s Preference and affirm that the information given on this document is true and correct.

Agreement: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. By signing below, I accept the conditions of this application.

All applicants for a position with the City of Vadnais Heights are requested to complete this form. Completion is voluntary. This form will remain separate from your employment application and will not be used in any way during the interviewing or hiring process. It will be used by the Human Resources Department to compile summary data for the purpose of completing necessary government reports relative to equal opportunity employment and for the City’s use in monitoring its recruitment process.

Please review your application and submit.