Skip to Main Content
Loading
Loading
City Hall
Residents
Business
Hotline NSB
Search
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
ADA Compliance
Airport
Citizen Self Service
E-mail
Legacy Email Update
RequestTracker Forms
Surveys
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
General Employment Application
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
This section is complete
This section is incomplete
2.
Step Two
This section is complete
This section is incomplete
3.
Step Three
This section is complete
This section is incomplete
4.
Step Four
This section is complete
This section is incomplete
Step One
GENERAL APPLICATION FOR EMPLOYMENT Human Resources City of New Smyrna Beach 210 Sams Avenue New Smyrna Beach, Florida 32168
The City of New Smyrna Beach accepts applications at the time open positions are posted. Applications may be rejected if you do not complete the entire application form and provide the requested documents. Your application will be kept active for one year. If you wish to apply for other job openings within this one year period you may use the same application form by contacting Human Resources with your request at the time a new position is posted.
Position(s) Applied For
*
Date Of Application
*
Date Of Application
Where did you hear about this position?
City Website
Referral
Other
First Name
*
Last Name
*
Street Address
*
City
*
State
*
Zip
*
Phone Number
*
Email
*
Have you applied for this position before?
Yes
No
Have you ever been employed here before?
Yes
No
Are you lawfully eligible to work in the United States?
Yes
No
Are you available to work?
Full Time
Part Time
Shift Work
Does the City of New Smyrna Beach employ any relative (by blood or marriage) or cohabitant of yours?
*
-- Select One --
Yes
No
If yes, provide name, relationship and department where they work:
The City of New Smyrna Beach provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, The City of New Smyrna Beach complies with applicable state and local laws governing nondiscrimination in employment in every location in which the City has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. The City of New Smyrna Beach expressly prohibits any forms of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, nation origin, age, genetic information, disability, or veteran status.
Continue
Step Two
RECORD OF EDUCATION
High School or GED
Did you Graduate?
-- Select One --
Yes
No
College
Did You Graduate
-- Select One --
Yes
No
Highest Degree Attained
List any other Degrees or Certificates Attained
Military Service Record: Were you in the U.S. Armed Forces?
-- Select One --
Yes
No
If yes, what Branch?
Use the space below to summarize any addtional information necessary to describe your full qualifications for the specific position which you are applying for:
Do you meet the minimum requirements listed on the Job Description for the position you are applying for?
-- Select One --
Yes
No
Do you Have a FL Drivers License?
*
YES
NO
CDL:
Yes
No
Expiration Date
*
Expiration Date
The City of New Smyrna Beach will require a Criminal History Disclosure Form to be completed during the selection process. Note:
Conviction of a crime or adjudication alone typically will not disqualify you from being considered for employment unless it is related to the position sought. Failure to submit or giving inaccurate information on the Criminal History Disclosure Form may cause candidates to be disqualified or dismissed.
Continue
|
Go Back
Step Three
Work History: List each job held. Start with your PRESENT or MOST RECENT job.
Include military service assignments and volunteer activities. (Exclude groups which indicate race, color, religion, sex or national origin). Are there any employers listed below you WOULD NOT like contacted for employment reference checks? Please indicate by placing a check in the box by employer’s name
Employer
Address
Telephone
Job Title
Start Date
Start Date
End Date
End Date
Starting Hourly/Salary
Final Hourly/Salary
Reason For Leaving
Work Performed
Contact for Reference?
Yes
No
Employer
Address
Telephone
Job Title
Start Date
Start Date
End Date
End Date
Starting Hourly/Salary
Final Hourly/Salary
Reason For Leaving
Work Performed
Contact for Reference?
Yes
No
Employer
Address
Telephone
Job Title
State Date
State Date
End Date
End Date
Starting Hourly/Salary
Final Hourly/Salary
Reason For Leaving
Work Performed
Contact for Reference?
Yes
No
Employer
Address
Telephone
Job Title
State Date
State Date
End Date
End Date
Starting hourly/Salary
Final Hourly/Salary
Reason For Leaving
Work Performed
Contact for Reference?
Yes
No
Professional References: List three (3) persons not related to you who have knowledge of your skills, qualifications and character.
Name and Occupation
Full Address
Telephone Number with Area Code
(_ _ _ ) _ _ _ - _ _ _ _
Name and Occupation
Full Address
Telephone Number with Area Code
(_ _ _ ) _ _ _ - _ _ _ _
Name and Occupation
Full Address
Telephone Number with Area code
(_ _ _ ) _ _ _ - _ _ _ _
APPLICANT’S CERTIFICATION and AGREEMENT –
Please Read Carefully Before Signing Statement of Application: I understand that previous employers will be contacted for references. I hereby authorize former employers to furnish any and all records of my service with them. I also release my former employers from any liability for any damage in providing this information. I also authorize educational institutions to furnish any records of education-related information they may have concerning me. Status: I understand that positions regarded as part-time and/or temporary are paid for actual hours worked and are not entitled to benefits offered to full time positions, with the exception of FICA and Worker’s Compensation. Probation Period: I understand that if hired, my position with the City of New Smyrna Beach is temporary during the established initial probationary period. My employment may be ended before the expiration of that period for any reason, without recourse. Physical Examination/Drug/Alcohol Testing: I am aware that the City of New Smyrna Beach is a “Drug-free Workplace”. I understand that I may be required to take and pass a physical examination after an offer of employment is made and employment is contingent on the results of that examination in accordance with the Americans With Disabilities Act (ADA). I also understand that the post-offer physical, I will receive a copy of the City’s Drug-free Workplace Program. Any illegal or controlled substance that shows in my test results will cause my immediate disqualification for employment with the City of New Smyrna Beach. Public Records: Pursuant to Florida Statute 119, the Public Records Act, documents made or received by the City of New Smyrna Beach may be public record and open for inspection by the public. Some records, such as social security numbers, examination questions and answers and medical documentation are not public records and may not be disclosed. Certification: I understand that this application must be completed in full. Incomplete applications may be rejected. I agree that any false or misleading information provided by me will be cause for canceling the application process. If hired by the City of New Smyrna Beach, after my hire date, it may cause my dismissal from City service. I have answered all the questions on this form completely and truthfully. I certify that the facts set forth in this employment application are true and complete to the best of my knowledge. If hired, I agree to accept conditions of employment and abide by rules, procedures and policies of the City of New Smyrna Beach. Release of Information: I hereby release from liability and promise to hold harmless under any and all possible claims or causes of action (i) any and all persons or entities who shall furnish such information to the City, its officers, agents or employees, and (ii) the City, its officers, agents or employees for any statements, acts or omissions in the course of obtaining said information. Furthermore, I understand that this release is signed, free from duress, and with the full knowledge and understanding that any information obtained will be used in assessing my relative fitness for employment with the City of New Smyrna Beach. By signing below you hereby acknowledge I will be required to complete a Criminal History Disclosure Form for the City of New Smyrna Beach when requested.
Signature
*
Date
*
Date
The City of New Smyrna Beach provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, The City of New Smyrna Beach complies with applicable state and local laws governing nondiscrimination in employment in every location in which the City has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Continue
|
Go Back
Step Four
VETERANS' PREFERENCE This form must be completed if you wish to apply with Veterans' Preference (You will be asked to provide a DD214 form or Member Letter)
Full Name
I am claiming Veterans' Preference and certify that I am eligible to do so.
Branch of Service
Type of Discharge
Date of Entry
Date of Entry
Date of Discharge
Date of Discharge
Are You Claiming Veterans' Preference as a: (Please Check On)
Disabled Veteran
Spouce of Totally Disabled Veteran who is MIA; allowed for eligibility under this paragraph
Veteran of any war, who has served at least one day during the following war time or who has been awarded a campaign or expedition medal, (active duty for Training shall not be allowed eligibility)
The unremarried widow or widower of a veteran who died of a service-connected disability
The Mother, Father, ledal guardian, or unmarried widow or widower of a servicemember who died as a result of military service under combat-related conditions as verified by the U.S Department of Def
A Veteran as defined in section 1.01m [14] Florida Statues. "Active Duty for Training" may not allowed under this paragraph. The term "veteran" is defined as a person who served in the active military
A current member of any reserve component of the U.S Armed Forces of the Florida National Guard.
Wartime periods are defined as follows:
World War II: December 7, 1941 to December 31, 1946 Korean Conflict: June 27, 1950 to January 31, 1955 Vietnam Era: February 28, 1961 to May 7, 1975 Persian Gulf War: August 2, 1990 to January 2, 1992 Operation Enduring Freedom: October 7, 2001 to TBD Operation Iraqi Freedom: March 19, 2003 to TBD Operation New Dawn: September 1, 2010 to TBD Applicants claiming preference is responsible for providing the required documentation (DD214) at the time of making an application for a vacant position. AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE Vetereans Preference 1/1
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
|
Go Back
* indicates a required field
City Hall
Airport (EVB)
Drone Rules & Safety
FBO & Services
Frequently Asked Questions
Master Plan Update (2019)
Noise Abatement Procedures
Rent Hangar Space
Who was "Jack" Bolt?
City Clerk
2024 Election Information
Current Candidates
Forms
Boards and Commissions
City Charter
Code of Ordinances
Listen Live Online
Listen Live Online
Listen Live Online (Legacy)
Public Meeting Portal
Public Records Request
Youth Council Task Force Artist Submission
City Commission
Mayor Fred Cleveland
Zone 1 Commissioner Valli Perrine
Zone 2 Commissioner Lisa Martin
Zone 3 Commissioner Jason McGuirk
Zone 4 Commissioner Randy Hartman
City Manager's Office
Capital Improvement Projects
Diversity & Inclusion Committee
Staff Directory
Strategic Action Plan
Development Services
Building & Inspections
Citizen Self Service
Contractors
Forms
Home Owners
Code Compliance
Code of Ordinances
Common Violations
Compliance Process
Engineering
Benchmark Map
Flood Protection
National Pollutant Discharge Elimination
Permits
Stormwater
Planning
Annexations
Code of Ordinances
Comprehensive Plan
Comprehensive Planning
Historic Preservation
Maps & GIS Data
Permits
Finance
Bids
Boat Ramp Parking
Budget
Budget Amendments
Budget Information
Financial Reports
Parking Pass Information
Appeal or Pay Parking Citation Online
Boat Ramp Parking
Parking Pass Application
Parking Pass Rules
Rental Car Parking Permit Application
Pension Reports
Purchasing
Sole & Single Source Posts
Human Resources
Employee Self Service
Employment
Job Opportunities
Maintenance Operations
Adopt-a-Park
Adopt-a-Park Family Album
Community Garden
Parks Map
Solid Waste Services
Stormwater Management
Residents
Affordable Housing
City Marina
Boat Slip Map
Useful Links
Waitlist Application
Waitlist Grandfather Process
Waitlist Policy
Downtown NSB
Canal Street Events
Flagler Avenue Events
NSB Farmers Market
Leisure Services
Alonzo "Babe" James Community Center
Brannon Center
Coronado Civic Center
Jessie Stevenson Kovalenko Memorial Gymnasium
Live Oak Cultural Center
Woman's Club of New Smyrna
New Residents
New Smyrna Golf Club
Call 386-410-2693 for tee times
Take a Video Tour
Parks Map
Public Safety
Accident Reports
Animal Services
Coyotes in NSB
Crime Statistics
Daily Patrol Log
Emergency Services
Fire & Rescue
Police Department
Disaster Preparation Info
Reverse 911
Fire Department
Our History
Community Outreach
Emergency Services
Reverse 911
Fire Safety Program
Fire Stations
Maps, Publications & Useful Links
Police Department
About Us
Office of the Chief
Command Staff
Recruitment
Crime Tips
FAQs
Investigations
NSBPD 2022-2024 Strategic Plan
Our Services
Policies and Procedures
Professional Standards
Property / Evidence
Public Information Officer
Public Notice
Quick Links
Records
Traffic / Motor Unit
Victim Assistance
Volunteer
Youth Services
Contact Us
Sports Complex
League Sports
Lightning Safety
Sponsorship Opportunities
Transportation
Traffic Calming Program Handbook
Votran Public Transit
Business
Apply for or renew a Business Tax Receipt
Business Tax Receipt Information
Brownfields 2021 Assessment Grant Fact Sheet
Community Redevelopment
2022 CRA Financial Statements
2022 CRA End of Audit Letter
Community Resource Coordinator Event Registration
CRA Annual Report FY 2021-22
CRA Annual Report FY 2020-21
CRA Budget FY 2022-23
CRA Reappropriation Budget FY 2022-23
Senior Housing Development
U.S. 1 CRA (2015-2035)
U.S. 1 CRA Grant Program Details
Economic Development
Business Resources
Commercial Development Opportunities
Data
Incentives
Fee Schedule for Businesses
Forms
"In the Loop" Economic Development Newsletter
Interactive Business Map
Permits - Inspections
Quick Links for Businesses
Request a Pre-Application Meeting
Short Term Rental Zoning Districts Map
Southeast Volusia Corridor Improvement Coalition
Starting a New Business Video
Hotline NSB
Agendas & Minutes
City Ordinances
Employment
Notify Me
Parking Passes
Permits & Applications
Finance Billing
Leisure Services Registration
Government Websites by
CivicPlus®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow