The City of Liberty welcomes your employment application. Complete this application carefully and completely. This information will aid us in evaluating your qualifications. The City of Liberty welcomes all qualified applicants without regard to their race, color, religion, gender, national origin, age, marital status, medical condition or disability. All offers of employment are conditional upon successfully passing all appropriate examinations and lab tests which may include a drug screen. These examinations are used to determine whether applicants are qualified to perform the essential functions of the position applied for with or without reasonable accommodation. Employment with the City of Liberty is employment “at will”. Neither this application nor any other personnel form provided to you constitutes an employment contract.
Applicants are not contacted unless they are selected to be interviewed. Incomplete applications will not be considered. All fields must be completed with an answer or N/A (not applicable).
Include paid and volunteer experience for the past 10 years.
List 3 professionals who can give references of your character, ability and work experience.
You are notified that the City of Liberty, MO may request a consumer report to be obtained for
employment purposes as a part of the pre-employment background investigation and at any time during your employment.
I understand and agree that, as a condition of employment and, if employed as a
condition of continued employment, I may be required to submit to drug and alcohol
screening tests to determine compliance with the City's Drug and Alcohol Policy.
Failure to comply with the testing program will be grounds for immediate discharge. I
understand that I can review and receive a copy of the City's Drug and Alcohol
Policy upon request.
with the City of Liberty, Missouri. I understand that a thorough and complete background
investigation will be conducted to determine my fitness and desirability as a
candidate for employment. Therefore, in consideration of the City’s processing of my
application for employment, I agree as follows:
1. I specifically authorize the City of Liberty to conduct such a background
investigation on me for the purpose of determining my fitness and desirability as a
candidate for employment.
2. I understand that the background investigation is conducted by gathering and
recording information about my past conduct and associations from any and all
sources that the City of Liberty, in its sole discretion, may deem appropriate, including
but not limited to: military, criminal, driving or other government files; past and
present employers, schools, friends, relatives, or acquaintances; and any other
sources of information available.
3. I specifically authorize any person or entity contacted by the City of Liberty to
completely and thoroughly answer any and all questions concerning me posed by
any official or employee of the City of Liberty and to provide to the City, or any of its
officials or employees, any requested document, information, record or file
concerning me, regardless of any statutory or other privilege that I may have.
4. I hereby release from liability and agree to hold harmless the City of Liberty and
any of its officers, officials, employees, and agents from any and all possible causes of
legal action, including negligence, that may accrue to me as a result of the conduct
of the background investigation or release of information to the City or any of its
officials or employees. I understand that, in the event I suffer any injury of any kind as
a result of such cooperation with the conduct of the background investigation, I am
herein forfeiting any and all right to bring legal action against or seek redress in the
courts from such individual, institution, organization or agency, even if such injury or
harm occurs as a direct result of their negligence or any other failure on their part to
satisfy any duty owed to me.
5. I hereby release from liability and agree to hold harmless any person or entity
which furnishes information or opinions to the City of Liberty as a part of the
background investigation from any and all possible causes of legal action, including
negligence. I understand that, in the event I suffer any injury of any kind as a result of
cooperation with the conduct of the background investigation, I am herein forfeiting
any and all right to bring legal action against or seek redress in the courts from such
person or entity, even if such injury or harm occurs as a direct result of their
negligence or any other failure on their part to satisfy any duty owed to me.
6. I understand the need for confidentiality of sources and information in my
background investigation, and I agree that I will never attempt to obtain access to
any part of the background investigation designated confidential by the City of
7. A copy of this Waiver and Release shall be deemed as effective as the original.
8. For purposes of conducting the background investigation and gathering the
information necessary to gauge my fitness for the position for which I have applied,
this Waiver and Release shall be effective for a period of one year from the date of
my execution hereof. My waiver of the right to review and copy the background
investigation is perpetual.
9. This Waiver and Release is intended to be as broad and inclusive as permitted
by the laws of the State of Missouri and, if any portion hereof is held to be invalid, the
balance shall, notwithstanding, continue in full legal force and effect. My spouse (if
any), heirs and legal representative, and any and all successors and assigns, are
bound by the terms of this Waiver and Release. This Waiver contains the entire
agreement between the parties hereto and its terms are contractual and not a mere
Any information about yourself that you provide to the City of Liberty during the
application process will be used to identify you as an applicant, distinguish you from
all other applicants, enable us to contact you when additional information is required,
send you notices and/or schedule you for interviews, determine whether or not your
background check may be a job-related consideration affecting your suitability for
the position applied for, and assess your qualification for employment with the City.
If you wish to be considered for employment, you are required to provide the
information requested in the Employment Application. If you refuse to supply
information requested, it may mean that your application will not be considered. Your name will not be made available to the public unless you are selected to be a
Other information about yourself that you provide during the application process or
during employment with the City is classified as private under state law, except as
public here or as listed in Missouri Statutes. The information may not be provided to
members of the public except to: (1) Persons authorized to have access to the information under state or federal law
(2) Person authorized by court order to have access to the information
(3) Persons to whom you consent in writing to have access to the information
(4) All individuals in the City who need to know the information.
Materials submitted in support of an application are normally not returned. You
should not submit an original document if it is your only copy.
* indicates a required field