Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.
The City of South Daytona adopts the written statement attached hereto for the collection of social security numbers and such statement to individuals when their social security number is obtained. The City hereby determines that obtaining an individual’s social security number for the reasons identified in said statement is either specifically provided by law or is imperative for the city to fulfill its lawful duties and responsibilities.
You are being provided this written policy for one or more of the purposes listed below, per Section 119.071(5), Florida Statutes.
THE CITY OF SOUTH DAYTONA COLLECTS YOUR SOCIAL SECURITY NUMBER FOR THE FOLLOWING PURPOSES:
This written policy was adopted by the City of South Daytona City Council via Resolution NO 08-01 on January 22, 2008, in compliance with Section 119.07(5), Florida Statutes, (2007).
Please list all addresses you have had for the last ten (10) years starting with your present address.
Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended. All educational information must be documented by diploma, transcript, license, certificate or letter from the educational facility.
Please attach High School diploma/equivalent or any other proof of education.
Please attach proof of education
Include your last ten (10) years of employment history, including periods of unemployment, starting with the most recent and working backwards. Incomplete information could disqualify you from further consideration.
Fill in the names of at least (5) persons, not related to you , who you have known for at least five (5) years. All persons that you list may be asked to appraise your character, ability experience, personality, and other questions.
If yes, answer below:
Please read carefully before signing.
This employer complies with the Americans with Disabilities Act of 1990. During the interview process, you may be asked questions concerning your ability to perform job-related functions. If you are given a conditional offer of employment, you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. If required, all entering employees in the same job category will be subject to the same medical questionnaire and/or examination and all information will be kept confidential and in separate files.
The City of South Daytona is an equal opportunity employer. The City of South Daytona does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the City of South Daytona to hire me. If I am hired, I understand that either the City of South Daytona or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the City of South Daytona has the authority to make any assurance to the contrary.
Applicants accepted for employment should clearly understand that while we make every effort to provide steady, continuous work, we cannot guarantee the permanence of any position. Job tenure can be affected by many factors including business/economic conditions, changes in laws or Employer policies, conformity to our work rules, job performance, etc. And of course, employees may elect to leave on their own accord to seek other jobs.
I attest with my signature below that I have given to the City of South Daytona true and complete information on this application. No requested information has been concealed. I authorize the City of South Daytona to contact references, verify education, conduct a background check, contact prior employers, and make any other inquiry related to consideration for employment. I hereby release the City of South Daytona from any liability as a result of these contacts.
If any information I have provided in this application is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
The contents of the City’s policies and practices are subject to change or modification by the City, solely at its discretion, without notice. I also understand that no supervisor or other official of the City has the authority to enter into any agreement with me or to make any agreement contrary to the foregoing.
The City of South Daytona conducts its business with the highest possible degree of safety and efficiency. Because of this, the City may require applicants for employment to undergo blood and/or urinalysis screening for drug/nicotine or alcohol use as part of our pre-placement physical examination. In addition, all employees of the City of South Daytona are subject to blood tests or urinalysis screening for drug or alcohol use.
Applications that are complete and meet minimum requirements for the position sought shall remain active for a period of sixty (60) days from the date electronically signed above. Any application that is not complete will not be processed.
The City of South Daytona is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, or any other classification protected under federal law. The following information is requested to assist the City of South Daytona in analyzing and monitoring its recruitment process in compliance with Federal Equal Employment Opportunity reporting. Although completion of this form is not required, it is encouraged in order to aid the City in our commitment to equal employment opportunity. The information will be kept separately from your application form, and will not be used for employment decisions.
Pursuant to Chapter 295 of the Florida Statutes, in order to claim Veterans' Preference, you must complete and sign this Veterans’ Preference form and provide all required documentation from the Department of Defense (DD) and/or the Department of Veterans’ Affairs (DVA). For the purposes of this form, a veteran is defined in §1.01(14) Florida Statutes. Preference may only be provided to qualified job applicants who have participated in a selection procedure and have submitted the required form and documentation no later than the closing of the job application period. Preference will not be awarded retroactively.
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Important Notice:
Chapter 295 of the Florida Statutes sets forth certain requirements for public employers to accord preferences in appointment, retention and promotion to certain qualified service members/veterans and certain spouses/family members of these service members/veterans. Preference in appointment and employment requires that a preferred applicant be given preference at each step of the employment selection process, but does not require the employment of a preferred applicant over a non-preferred applicant who is the most qualified for the position.
An applicant eligible for Veterans’ Preference who believes he or she was not afforded employment preference in accordance with Chapter 295 may file a complaint with the Department of Veterans' Affairs at 9500 Bay Pines Blvd., Room 214, St. Petersburg, Florida 33708, requesting an investigation. When the applicant has received notice of a hiring decision from a covered employer, the complaint shall be filed within 21 calendar days from the date notice is received by the applicant and/or as otherwise provided in Florida Administrative Code R. 55A-7. Also, § 295.07(4) Florida Statutes provides exemptions to Veterans’ Preference.
Signature of Applicant (required):
I, the undersigned qualified service member/veteran or spouse/family member of a qualified service member/veteran, acknowledge that I have provided true and correct information on this form and all related documentation, and that I have read and understand the rights expressed in the foregoing notice.
Wartime Eras eligible for Veterans' Preference:
Operation New Dawn - September 1, 2010 to TBD
Operation Iraqi Freedom - March 19, 2003 to TBD
Operation Enduring Freedom - October 7, 2001 to TBD
Persian Gulf War – August 2, 1990 to Jan. 2, 1992
Vietnam Era - February 28, 1961 to May 7, 1975
Korean Conflict - June 27, 1950 to January 31, 1955
World War II - December 7, 1941 to Dec. 31, 1946