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CURRENT OPENINGS
No active job openings
EMPLOYMENT APPLICATION
If you are interested in working for IMU, please fill out the application below.
If you prefer to print and application and submit via mail or email, please click the link for a printable version.
Printable Employment Application
"
*
" indicates required fields
General Information
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Position Applying For
*
What date are you available for work?
*
MM slash DD slash YYYY
Are you legally eligible for employment in this country?
*
Yes
No
If you are between 16 and 18, and if it is required, can you furnish a work permit?
*
Yes
No
Are you currently employed?
*
Yes
No
May we contact your present employer?
*
Yes
No
Have you ever been employed by the City of Indianola or IMU before?
*
Yes
No
Have you ever been convicted of a crime other than a minor traffi c violation?
*
Yes
No
Are you currently on “lay-off” status and subject to recall?
*
Yes
No
Are you a U.S. Veteran?
*
Yes
No
If yes, provide dates of active service
*
Do you possess a valid driver’s license?
*
Yes
No
If yes, provide license number
*
Issuing State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Class of driver’s license
*
Endorsements:
*
Educational Background
High School Name & Location
*
College Name & Location
*
Other Name & Location
*
Years Completed
*
Years Completed
*
Years Completed
*
Diploma or Degree
*
Diploma or Degree
*
Diploma or Degree
*
Major Course or Study
*
Major Course or Study
*
Major Course or Study
*
Employment History
Provide the following information of your past three (3) employers, assignments or volunteer activities, starting with the most recent.
Position 1
From
*
MM slash DD slash YYYY
To
*
MM slash DD slash YYYY
Employer
*
Job Title
*
Address
*
Immediate Supervisor
*
Describe Duties
*
Reason for Leaving
*
Hourly Rate/Salary
Start
*
per
*
Final
*
per
*
Position 2
From
*
MM slash DD slash YYYY
To
*
MM slash DD slash YYYY
Employer
*
Job Title
*
Address
*
Immediate Supervisor
*
Describe Duties
*
Reason for Leaving
*
Hourly Rate/Salary
Start
*
per
*
Final
*
per
*
Position 3
From
*
MM slash DD slash YYYY
To
*
MM slash DD slash YYYY
Employer
*
Job Title
*
Address
*
Immediate Supervisor
*
Describe Duties
*
Reason for Leaving
*
Hourly Rate/Salary
Start
*
per
*
Final
*
per
*
Trainings and Certifications
Please list any additional trainings and/or skills
*
References
Please provide information for three (3) work related references
Full Name
*
Business or Occupation
*
Position or Title
*
Phone Number
*
Full Name
*
Business or Occupation
*
Position or Title
*
Phone Number
*
Full Name
*
Business or Occupation
*
Position or Title
*
Phone Number
*
Applicant's Statement
BE SURE TO READ THIS STATEMENT BEFORE SIGNING
I HEREBY CERTIFY, that this application is complete to the best of my knowledge and all information given is true and contains no misrepresentations.
*
FURTHERMORE:
I am aware that all statements submitted on this application are subject to investigation and verifi cation.
I authorize the persons, schools, law enforcement agencies and other organizations or employers named in this application to provide
information requested in the processing of this application.
I agree to provide, upon request, written releases and waivers of confidentiality should any former employer or school require such
a release.
I understand that any withholding of information or misrepresentation on this application or on IMU medical forms could result in
rejection for employment, or if employed, termination from employment.
I understand any offer of employment is conditional upon successfully completing a physical which includes a drug screening.
If employed, I understand that I am required to abide by all rules and regulations as indicated in the Personnel Management Guide
and/or applicable Union Contract and Employee Handbook.
If I am hired, I understand that I may resign at anytime, with or without cause and without prior notice, and Indianola Municipal
Utilities (IMU) reserves the same right to terminate my employment at any time, with or without cause and without prior notice,
except as may be required by law. This application does not constitute an agreement or contract for employment for any specified
period or definite duration. I understand that no representative of Indianola Municipal Utilities, other than an authorized officer,
has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and
signed by an authorized officer.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from Indianola Municipal Utilities
and still wish to be considered for employment, it will be necessary to fill out a new application.
I authorize IMU to conduct a driving record check if driving will be required in my position with IMU, and complete a criminal
check regarding my background and further authorize all governmental agencies, departments, bureaus or related entities to release
any and all information regarding my driving record and criminal history, if any, and also agree to prepare and sign any other form
necessary to complete a criminal background check. I understand that a conviction is not an automatic bar to employment, but that
IMU will consider the seriousness and nature of the crime, the date of the conviction, and the extent of any rehabilitation.
I understand IMU has the option of conducting a credit check on me. If such a check will be performed IMU will
provide me with written notice to comply with the Fair Credit Reporting Act. I agree to execute the appropriate
authorization if presented to me by IMU.
I represent and warrant that I have read and fully understand the foregoing, and seek employment under these conditions.
I agree
Signature
*
Email
This field is for validation purposes and should be left unchanged.