Personal Information


Employment Desired


High School

Undergraduate College


Other (Specify)

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?


Additional Information

Have you ever been employed with the city before?
Do you have any friends or relatives employed by the city?
Are you currently on "lay off" status and subject to recall?
If you are under 18 years of age, can you provide proof of your eligibility to work?
If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.?
Are you able to perform all of the essential functions of the job for which you are applying with or without reasonable accommodation?
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?
If hired, do you have a reliable means of transportation to and from work?
If hired, would you be able to travel or work overtime as needed?
Have you ever been convicted of a felony or misdemeanor?

A criminal record does not constitute an automatic bar to employment and will be considered only as it substantially relates to the job in question.


Additional Space

Employment Application

Equal Employment Opportunity Statement

The City of Diamondhead is committed to the principles of equal employment opportunity and is committed to making employment decisions based on merit. We are committed to complying with all Federal, State and local laws providing for equal employment opportunities, as well as all laws related to terms and conditions of employment. The City desires to maintain a work environment that is free of sexual harassment and discrimination due to race, religion, color, national origin, physical or mental disability, age or any other status protected by Federal, State or local laws. The City will make reasonable efforts to accommodate those physical or mental limitations of an otherwise qualified employee unless undue hardship would result for the company.

Disclosure to Applicants Concerning Drug/Alcohol Testing

If you are offered a position with the City of Diamondhead, you will be given a drug/alcohol test as a condition of employment. Your refusal to timely submit to a drug/alcohol test or your failure to pass such a test means you will not be employed by the city. Neither the collector of specimens nor the medical professional who reviews the test results will be a company employee. The test results will be kept confidential. The individual undergoing testing will not be directly observed while providing the specimen unless there are reasonable grounds to believe the individual may alter or substitute the specimen. Negative test results are required as a condition of employment.

Complete and Accurate Information

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application, or any other document used to secure employment, shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

At-Will Employment

I understand and agree that if I am employed, my employment will be “at-will”, which means that the City may terminate the employment relationship at any time, with or without cause and with or without notice. Likewise, the City will respect my right to terminate my employment at any time, with or without cause and with or without notice. I further understand that any prior representation, whether expressed or implied to the contrary is hereby superseded and that no promise or representation contrary to the foregoing is binding on the City unless made in writing and signed by the City Manager.

Testing Authorization

If offered a position with the City of Diamondhead, I hereby agree to any legally permitted physical, psychological, skill, drug or medical test required by the Company as a condition of employment.

Investigation Authorization

I authorize the investigation into all statements and references contained in this application. The said investigation may include credit, driving, criminal background, references and other background checks. By applying for this job, I also authorize a post-hire investigation into my credit, driving and criminal background.

Company Obligation

I understand and agree that the City’s acceptance of this job application does not mean that a position for which I am qualified is open (unless specifically posted) or that the company has agreed to hire me. I understand that the City of Diamondhead is under no obligation to hire me as the result of accepting this completed application.