List below all present and past employers over the past ten years, starting with your most recent employer. Account for all periods of unemployment. You must complete this section even if attaching a resume.

I authorize investigation of all statements contained in this application for any employment-related purpose. I release the listed references and all employers to provide you with any and all applicable information they many have. I certify the facts contained in this application are true and complete to the best of my knowledge and I understand that falsified statements in this application may result in denial of employment, or termination of my employment. I understand and agree that if hired, my employment is at-will and either the company or I can terminate the employment relationship at any time and for any reason. City of Shepherdsville is an Equal Employment Opportunity (EEO) employer. In compliance with Title VI of the Civil Rights Act of 1964, we do not discriminate against job applicants based on race, color, gender, age, national origin, mental or physical disability, veteran or family status, genetic information, religion or any other status or condition protected by applicable federal, state or local laws, except where a bona fide occupational qualification applies.