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2. General Job Summary

   The Public Works Director will plan, direct, and review the activities of the Public Works Department, including engineering, water/wastewater, construction inspectors, traffic operations, street maintenance; storm water drainage, solid waste and recycling services, environmental health services, coordinate assigned activities with other Town departments and outside agencies; and provide highly responsible and complex administrative support to the Town Manager.

   View Full Job Description

4. Salary

   $127,787 - $185,291

6. Applicant Information
8. Last Name*
9. First Name*
10. Middle
12. Address 1*
14. Address 2
16. City*
17. State*
18. Zip*
20. Phone*
21. Email*
23. Position Applied for*
24. Date Available*
26. Have you ever worked for this organization?

    1. Yes
    2. No
27. If yes, when and job title?
29. Language Abilities
31. Are you fluent in a language other than English?

    1. Yes
    2. No
33. If yes, please list language(s):
35. Language Proficiency (check all that apply):

    1. Read
    2. Write
    3. Speak Fluently
    4. Understand
    5. Translate
37. Education
39. High School
40. Address
42. Did you graduate?

    1. Yes
    2. No
43. Diploma or GED?
47. College
48. Address
50. Did you graduate?

    1. Yes
    2. No
51. Degree
55. Other
56. Address
58. Did you graduate?

    1. Yes
    2. No
59. Degree
61. Previous Employment
63. Company
64. Phone
66. Address
67. Supervisor
69. Job Title
70. Starting Salary
71. Ending Salary
73. Job Responsibilities
75. Start Date
76. End Date
78. Reason for Leaving
80. May we contact your previous supervisor for a reference?

    1. Yes
    2. No
84. Company
85. Phone
87. Address
88. Supervisor
90. Job Title
91. Starting Salary
92. Ending Salary
94. Job Responsibilities
96. Start Date
97. End Date
99. Reason for Leaving
101. May we contact your previous supervisor for a reference?

     1. Yes
     2. No
105. Company
106. Phone
108. Address
109. Supervisor
111. Job Title
112. Starting Salary
113. Ending Salary
115. Job Responsibilities
117. Start Date
118. End Date
120. Reason for Leaving
122. May we contact your previous supervisor for a reference?

     1. Yes
     2. No
124. Military Service
126. Branch
127. From
128. To
130. Rank at Discharge
131. Are you currently in the Armed Forces?

     1. Yes
     2. No
133. References

     Please list three professional references.

135. Full Name
136. Relationship
138. Company
139. Phone
141. Email
145. Full Name
146. Relationship
148. Company
149. Phone
151. Email
155. Full Name
156. Relationship
158. Company
159. Phone
161. Email
163. Disclosure Information
165. Are you legally authorized to work in the U.S.?*
     -- Select One --YesNo

     *If hired, you will be required to complete an Employment Eligibility Verification Form (I-9), and produce documentation of your identity and authorization to work.

167. Do you have a relative who is employed in any capacity by the Town of Westlake?*
     -- Select One --YesNo
169. If you answered YES, please list the name(s) of the relative(s), position(s) held, and your relationship to them.
171. Have you ever been convicted of, pled guilty or no contest to, or received probation or deferred adjudication for any offense (felony or misdemeanor excluding minor traffic violations)? *
     -- Select One --YesNo

     *Please note: Omission of relevant information, regardless of the time passed or prior inclusion in criminal history check results, may be considered falsification of your application. 

173. Have you ever been terminated, fired, resigned in lieu of termination or non-renewal or otherwise dismissed from employment? *
     -- Select One --YesNo
175. If you answered YES, please provide details below:
177. Have you ever resigned or been discharged from any position, including the armed forces, while under suspicion of having engaged in criminal, immoral, or unprofessional conduct, or are you currently under investigation for any such charge? *
     -- Select One --YesNo
179. If you answered YES, please provide details below:
181. Have you ever been placed on non-medical leave, suspension, administrative leave, or disciplinary probation from any position?*
     -- Select One --YesNo
183. If you answered YES, please provide details below:
185. Does your name appear on any Sex Offender Database in any state or country? *
     -- Select One --YesNo
187. If you answered YES, please provide details below:
189. Have you ever had any indicated finding of child abuse filed in your name?*
     -- Select One --YesNo
191. If you answered YES, please provide details below:
193. Can you perform all the essential job functions of the position(s) for which you are applying with or without reasonable accommodation? *
     -- Select One --YesNo
195. Background Investigation Information
197. Social Security Number*
199. Date of Birth*
201. Driver's License or State ID #*
203. Driver's License State*
205. Number of traffic citations in the past 3 years? *
207. Have you ever been convicted of a DWI or DUI? *

     1. Yes
     2. No
209. Have you ever been denied a CDL or had a CDL revoked for failure to pass a drug/alcohol screening?*

     1. Yes
     2. No
211. Have you ever had your driving privileges suspended?*

     1. Yes
     2. No
213. *I understand that all job offers made by the Town of Westlake are contingent upon the criminal background policy of the Municipality.*

     1. Yes
     2. No
215. Disclaimer and Signature

     I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.  

     I understand that the Town of Westlake may require me to successfully complete a pre-employment drug and alcohol test as a condition of employment and that continued employment may be based on the successful completion of similar tests. 

     I understand that the Town of Westlake may, as part of the hiring process, request an investigative consumer report from a third-party entity or agency including information concerning my character, general reputation, personal characteristics, credit records, and mode of living.  I may make a written request to the company to provide me with additional information regarding the nature and scope of any such report. 

     I understand that employment with the Town of Westlake is “at will” and nothing in the interview or hiring process, this application, or the municipal policies are intended to create an employment contract between myself and the Town of Westlake.  Employment may be terminated by either party at any time for any reason with or without notice. 

217. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
219. Electronic Signature*
220. Date*
     Date
222. Resume
223. Cover Letter
224. Other
Leave This Blank:


226. 1. Receive an email copy of this form.
227. Email address

     This field is not part of the form submission.

228. Submit

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