• Welcome to the City of Buckner Website
  • Mon - Fri: 8 a.m. to 4.30 p.m.
  • 315 S Hudson St, Buckner, MO 64016
  • 816.650.3191
  • jbobadilla@cityofbuckner.org

Job Application

Please fill out the form below to apply for a job with the City of Buckner.

Personal Information
First Name
*
MI:
*
Last Name
*
Address Line 1
*
Address Line 2
City
*
State
*
Zip
*
Home Phone
Work
Cell
Email Address
*
Confirm Email (retype)
*
Social Security Number
*
Driver's License #(if job requires any driving)
State
Exp.
Employment Desired
Position Applied For
*
How did you hear about this position?
Date available for work
*
Education
HighSchool Education
School Name
School Address
Total Years
Received Diploma?
Yes
Undergraduate Education
School Name
School Address
Course of Study
Total Years
Degree/Diploma
Graduate/Professional Education
School Name
School Address
Course of Study
Total Years
Degree/Diploma
Other Education (specify)
School Name
School Address
Course of Study
Total Years
Degree/Diploma
List any seminars, classes or other education not listed above which may help qualify you for this position:

Employment History
List below all present and past employers over the past ten years, starting with your most recent employer.  Account for all periods of unemployment. You must complete this section even if attaching a resume.  
May we contact your current employer?
YESNO
1.Current (or most recent) Employer
Employer
Current Employer?
YESNO
Start Date
*
End Date
Address
*
City
*
State
*
Zip
*
Phone Number
*
Fax Number
Starting Salary
*
Ending Salary
*
Supervisor(s)
*
Supervisor Email
Job Position(s)
*
Essential Job Functions of Final Position:
*
What value did you add to this company or its customers?
*
Reason(s) for Leaving
2.Previous Employer
Employer
Start
End
Address
City
State
Zip
Phone Number
Fax Number
Starting Salary
Ending Salary
Supervisor(s)
Supervisor Email
Job Position(s)
Essential Job Functions of Final Position:
What value did you add to this company or its customers?
Reason(s) for Leaving
3.Previous Employer
Employer
Start
End
Address
City
State
Zip
Phone Number
Fax Number
Starting Salary
Ending Salary
Supervisor(s)
Supervisor Email
Job Position(s)
Essential Job Functions of Final Position:
What value did you add to this company or its customers?
Reason(s) for Leaving
4.Previous Employer
Employer
Start
End
Address
City
State
Zip
Phone Number
Fax Number
Starting Salary
Ending Salary
Supervisor(s)
Supervisor Email
Job Position(s)
Essential Job Functions of Final Position:
What value did you add to this company or its customers?
Reason(s) for Leaving
Additional Information
List any professional, trade, business, or civic activites and offices held. You may exclude membership that would reveal gender, race, religion, national origin, ancestry, age, disability or any other protected status.
List any languages other than English that you can speak, read, or write that could be of benefit to the position applied for:
  Fluent Good Fair
Speak
Read
Write
Identify formal job training that relates to this position:
*
Identify what skills or certifications you posses related to this position:
*
If you are hired, what value would you add to our company?
*
Describe what you believe are the most unique features of your work history:
*
Have you ever been employed with this company before?
YESNO *
If yes, please explain
*
Do you have any friends or relatives employed by this company?
YESNO *
If yes, please provide their names and relationship to you:
*
Are you currently employed
YESNO *
May We Contact Your Employer?
YESNO *
Are you currently on "lay off" status and subject to recall?
YESNO *
Are you under 18 years of age?
YESNO *
If under 18, can you provide proof of your eligibility to work?
YESNO *
If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.?
YESNO *
Are you able to perform all of the essential functions of the job for which you are apply with or without reasonable accomodation?
YESNO *
If no, please explain
*
If hired, are there any accommodations the company would need to provide so that you can perform all those essential functions and duties of the position being applied for?
YESNO *
If yes, please explain
*
If driving is a requirement of the position applied for, have you in the last 7 years been convicted of Driving Under The Influence ("DUI")
YESNON/A *
If hired, do you have a reliable means of transportation to and from work?
YESNO *
If hired, would you be able to travel or work overtime as needed?
YESNO *
Have you ever been convicted of a felony or misdemeanor?
YESNO *
If yes, please explain
*
Upload Resume
Upload Resume(pdf/word formats only)
*

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