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  1. Defiance

    Application for Employment

    Equal Opportunity Employer Discrimination in employment because of race, religion, creed, color, national origin, ancestry, disability, age, sex, or liability for service in Armed Forces of the United States is prohibited by city policy.  In addition, City employment policy requires compliance with state and local fair employment practice laws and regulations.  The City of Defiance is an equal opportunity employer.

  2. General Information

  3. Have you ever worked for the City of Defiance?
  4. Do any of your relatives or friends work here?
  5. Are you currently employed?
  6. Education

  7. Did You Graduate?
  8. Did You Graduate?
  9. Did You Graduate?
  10. Did You Graduate?
  11. Employment History

  12. Employer #1

  13. Employer #2

  14. Employer #3

  15. References

    In the areas below, please provide 3 professional references.

  16. Additional Information

  17. Leave This Blank:

  18. This field is not part of the form submission.