Where Michigan Works!

City of Lansing

Welcome. Please contact me if I can help you in any way.

-Mayor Virg Bernero

Mayor Virg Bernero
A
A
A
Text Size:

City of Lansing Jobs

Employment Application

Chief Information Officer


Personal Information

Required fields *

Last Name *

First Name *

Middle Name

Street Address

City

State

Zip

Home Phone

- -

Cell Phone

- -

Work Phone

- -

E-mail Address *

Alternate Contact No.

- -

Commercial Driver's License

Type/Endorsements


Are you, or have you ever been employed by the City of Lansing?

Indicate Dates of Employment:

From

To

Job Title

Department


Are you legally eligible for employment in the United States?

NOTE: Documentation of employment eligibility will be required upon employment.


Are you at least eighteen (18) years of age?


Have you ever been convicted of a crime within the previous seven (7) years (misdemeanor or felony)?

NOTE: By indicating yes, you are not necessarily excluded from employment with the City of Lansing.

Indicate the nature of the offense, date of offense, where and outcome:

Are there any charges currently pending against you?

Please explain:

Wage/Salary Desired

Per Hour

$

Per Year

$

Hours Available

Availability to work:


Education

NOTE: Verification of educational attainment is required through provision of the appropriate diploma or transcript based upon job requirements.

High School

Name

Location

Course of Study

Did you graduate?


College

Name

Location

Course of Study

Did you graduate?

Number of Credit Hours

Semester or Term

Type of Degree


College

Name

Location

Course of Study

Did you graduate?

Number of Credit Hours

Semester or Term

Type of Degree


Other

Name

Location

Course of Study

Did you graduate?

Number of Credit Hours

Semester or Term

Type of Degree


Provide details regarding any special course work, seminars, training, volunteer work or other education that would relate to the position that you are applying for:


Provide details regarding your equipment operation and computer skills including software packages that you are proficient using:


Are you now, or have you ever been a licensed member of any trade or profession (such as electrician, attorney, plumber, etc.)?

Please indicate type of license, State issued, and period covered by the license:

Employment

In the space below provide details on your employment history, including any periods of unemployment. Complete each section fully, DO NOT state SEE RESUME. Begin with your present employer and work backwards. You may submit a resume as further documentation, but you must complete this section fully. Be complete.

Employer

Job Title

Supervisor

Street Address

City

State

Zip

Phone Number

- -

Start Date

End Date

Hours

Hours per week

Reason for Leaving

Job Duties

Salary Per Hour

$

Salary Per Year

$

May we contact your employer?


Employer

Job Title

Supervisor

Street Address

City

State

Zip

Phone Number

- -

Start Date

End Date

Hours

Hours per week

Reason for Leaving

Job Duties

Salary Per Hour

$

Salary Per Year

$

May we contact your employer?


Employer

Job Title

Supervisor

Street Address

City

State

Zip

Phone Number

- -

Start Date

End Date

Hours

Hours per week

Reason for Leaving

Job Duties

Salary Per Hour

$

Salary Per Year

$

May we contact your employer?


Any additional information you would like to add?


References

Provide the names of 3 people, who you have known at least two (2) years. Do not list relatives or former employers.

Name

Home Phone

- -

Work Phone

- -

Street Address

City

State

Zip

Years Known


Name

Home Phone

- -

Work Phone

- -

Street Address

City

State

Zip

Years Known


Name

Home Phone

- -

Work Phone

- -

Street Address

City

State

Zip

Years Known


How did you hear of this vacancy?

Newspaper
Please Specify

TV
Internet
Job Hotline
Michigan Works
Friend
College Placement Office
Employment Agency
Other

Additional Information

We accept .rtf, .doc, .docx, .pdf

Resume

Cover Letter

Other Document

Other Document


The City of Lansing is an equal opportunity employer and does not discriminate in its employment policies or practices on the basis of religion, race, color, national origin, gender, sexual orientation, age, marital status, height, weight, arrest record, disability, or genetic information of any individual.

I certify that the information I have given on this form or at any time during the application process, including during any medical examination or interview is true and complete to the best of my knowledge. I understand and agree that any misrepresentation, material omission or falsehood will be cause for rejection of this application and for dismissal, if discovered after I have been hired. I agree to undergo a physical examination including drug/alcohol screening at any time, AFTER A CONDITIONAL OFFER OF EMPLOYMENT IS MADE, at the City’s expense, to determine if I can perform the essential functions of this job, with or without reasonable accommodation. I authorize the City of Lansing to verify any statement contained within this application or offered at anytime during the application process, including during any medical examination or interview, and by signing below authorize the City to request the release of any information required. If I am hired, I agree to conform to the Personnel Rules of the City of Lansing, and/or the applicable bargaining unit agreement. I agree that if I am hired, my employment is not for any definite term, and my employment and compensation can be terminated with or without cause, and with or without notice, at any time, at the option of either the City of Lansing or myself unless my employment is expressly other than at-will pursuant to a duly-executed collective bargaining agreement or contract. I understand that no representative of the City of Lansing other than the Director of Human Resources or Mayor has any authority to enter into any agreement for employment.

I acknowledge that I have read all of the above statements and that I understand them.