The CITY of CANTON, Ohio (www.CantonOhio.gov)
Samuel J. Sliman, Administrator
General Information
Social Security # First Name Middle Init Last Name
Present Address City State Zip
Yrs At Address Phone E-Mail Applying For Position
How long have you lived in Stark County How long have you lived in Canton U.S. Citizen The Civil Service Law prohibits classified employees from holding any position in a political office or club. Do you belong to any organization of this type at the present time? Are you an elected official such as a precinct committee person?
I am available for employment as follows: Temporary Full-Time Part-Time Seasonal
Do you have a driver's license? Do you have a Commercial Driver's License If Yes, License No.
Edit Military History
Branch Of Military Service
Date Served From Date Served To
Rank when separated Present Reserve Status
Describe any training or honors recieved in Military: Describe duties:
Did you serve at least 180 days of consecutive active duty service? If yes, were you honorably discharged?
Edit Education
High School Dates Attended Name From Degree City & State , To Major / Minor
Vocational or Trade Dates Attended Name From Degree City & State , To Major / Minor
College Dates Attended Name From Degree City & State , To Major / Minor
College Dates Attended Name From Degree City & State , To Major / Minor
Other Training Dates Attended Name From Degree City & State , To Major / Minor
Edit Other Skills
Factory, construction or street equipment operated:
Typing Speed W.P.M.Shorthand Speed W.P.M.
Describe any other Special Training and / or skills which are related to the kind of work you want to do:
Edit Employment History
Would you object to the City's contacting your present employer for a reference
List your employment starting with your most recentFirst Dates Employed To May we contact? Phone
Employer Address City, State Zip, Name Of Supervisor
Your Title Your Duties # Of Workers You Supervised
Second Dates Employed To May we contact? Phone
Employer Address City, State Zip, Name Of Supervisor
Your Title Your Duties # Of Workers You Supervised
Third Dates Employed To May we contact? Phone
Employer Address City, State Zip, Name Of Supervisor
Your Title Your Duties # Of Workers You Supervised
Fourth Dates Employed To May we contact? Phone
Employer Address City, State Zip, Name Of Supervisor
Your Title Your Duties # Of Workers You Supervised
Edit References
Name Address Phone Number Occupation
Edit