Online Employment Application

Position Information

Position Applied For:  Department 
Employment Desired:

Personal Information

Date Available: 
 (Approximate date is fine)
Social Security Number: 
Driver's License Number:  State of Issue: 
Full Legal Name: (First) (M.I.) (Last)
Address Line 1  Address Line 2 
City:  State:  Zip Code 
Home Telephone:  Work Telephone: 
Cell Phone:  May the City contact you via text message:         
Email Address:  Best Time to Contact You: 
Are You Under Age 18?
Are You a United States Citizen?
Have you ever worked for the City of Beatrice?

Education / Training

Do you have a high school diploma or a GED certificate?

List high schools, colleges, military, trade, business or other schools attended.

Name and Location of Institution  Hrs. Completed 
Degree Received  Course of Study 
Dates Attended 

Criminial History:

A criminal history check will be conducted if you are found to meet the minimum employment qualifications for the position you are applying for. A conviction will not automatically disqualify you from consideration. We will consider the nature of the offense in relation to the job for which you are applying.
We will also consider your record since the offense was committed.

Military Duty

Have you ever served in Active Duty in the Armed Forces?

The City of Beatrice complies with Nebraska's Veterans Preference laws.
Do you wish to claim Veteran's Preference in your employment search? 


List your last four (4) employers for employment verification purposes starting with the most recent.

Job Title:  Employer: 
Address 1:  Address 2: 
City:  State:  Zip: 
From (Month - Yr):  Starting Salary: 
To (Month - Yr):  Ending Salary: 
Reason for leaving: 
Supervisor Name:  Supervisor Phone: 
May we contact your current supervisor?     

License / Registration / Certificate

Complete the following for jobs requiring a professional license, registration, certificate, Nebraska Commercial Driver’s License (CDL), etc.

State:  Number:  Expiration: 

Specialized Skills And Knowledge

List any skills or knowledge that show that your ability to perform the job for which you are applying (such as typing speed, computer languages or software programs, foreign languages, etc.)


Applicant Statement

I understand that:

  • Any material omissions and/or false information I record on the application will be sufficient reason for rejection of this application or termination of my employment. In addition, I authorize and request now or in the future each and every former employer, school, individual, agency, organization or law enforcement agency to answer any and all questions that may be asked and herewith hold such persons harmless for giving any information within their knowledge or record.

  • As a condition of employment, I agree to submit documents relating to my identity and employment authorization within prescribed time limits in accordance with the Immigration Reform and Control Act of 1985.

  • If I am applying for a safety sensitive position covered by the Federal Department of Transportation Regulations, applicants and employees are subject to mandatory drug and alcohol testing policies as a condition of employment. Other City employees, regardless of status, may be subject to reasonable suspicion, return to duty, and unannounced follow-up drug and alcohol testing. Employees who test positive are subject to discipline up to and including termination.

  • Unless otherwise defined by applicable law, employees of the City of Beatrice serve in an "at will" capacity and can be discharged either with or without cause. Applications are required for each vacant position, including those with the same title; and applications submitted for the general file and not for specific position will be kept on active file for six (6) months and can be activated by me when I want to be considered for one (1) specific position by contacting the City Clerk's Office during the open recruitment period, unless specifically waived in writing. THIS FORM IS FOR APPLICATION PURPOSES ONLY AND IS NOT A CONTRACT FOR EMPLOYMENT. This application must be signed and dated for consideration of employment.


©2019 City Of Beatrice - 400 Ella Street - Beatrice, NE 68310 - (402) 228-5200