Application for Employment


Please correct the field(s) marked in red below:


City of Kalama - PO Box 1007, Kalama, WA 98625

Phone:  (360) 673-3265;    Fax:   (360) 673-4560

* The City of Kalama considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

How Did You Hear About Us?

New Standard Question

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Have you ever filed an application with the City of Kalama before?

Are you currently employed?

If currently employed, may we contact your current employer?

Are you prevented from lawfully becoming employed in this country because of VIsa or Immigration Status?

(Proof of citizenship or immigration status will be required upon employment.)

On what date would you be available for work?

Are you available to work:

Are you currently on "lay-off" status and subject to recall?

Can you travel if the job requires it?

Have you been convicted of a felony within the last 7 years?

(Conviction will not necessarily disqualify an applicant from employment.)

If Yes, please explain.



Name and Address of School Course of Study Years Completed Diploma/Degree
Elementary School
High School
Undergraduate School
Graduate School
Other (Specify)

Indicate any foreign languages you can speak, read, and/or write.

Fluent Good Fair

Describe any specialized training, apprenticeship, skills, and extra-curricular activities.

Describe any job-related training received in the United States Military.


Other Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience.

Special Skills

How many words per minute can you type?

Check below any office equipment you can operate or skills you have in the programs listed.

Indicate Equipment Operated:

Production/Mobile Machinery (list): Other (list):

State any additional information you feel may be helpful to us in considering your application.

NOTE TO APPLICANTS:  Do not answer this question unless you have been informed about the requirements of the job for which you are applying.

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?  If the job opening has been posted, a description of the activities involved in the job or occupation is available with the job posting.  Otherwise, you may contact City Hall for the current job description.


Reference 1:

Reference 2:

Reference 3:

List professional, trade, business, or civic activities and offices held.

You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry,, disability, or other protected status.


Start with your present or last job.  Include any job-related military service assignments and volunteer activities.  You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.

Employer No. 1

Employer No. 2

Employer No. 3

Employer No. 4

Employer No. 5

If you need additional space, please continue on an attachment.


I certify that the answers given herein are true and complete to the best of my knowledge.  

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

By submitting this application I authorize the following:

This application for employment shall be considered active for a period of time not to exceed 45 days.  Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with the CIty is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.  It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the City.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the City.

If you have questions on how to use this electronic application, email

*** To receive a copy of your application, be sure and indicate your email address in the space provided below.***

  1. To receive a copy of your answers, please fill out your email address below and submit.
    Change the CAPTCHA codeSpeak the CAPTCHA code