Employment Application

PLEASE NOTE: It is important that you complete all parts of the application. If your application is incomplete or does not clearly show the experience and/or training required, your application may not be accepted. If you have no information to enter in a section, please enter N/A. Apply online or download, complete and return your application to:

Village of Middlefield
Attn: Employment Applications
14860 North State Ave.
Middlefield, Ohio 44062

Pre-application question(s)? Send the Village a note.

  • Name and Address

  • Job Type

  • Date Format: MM slash DD slash YYYY
  • Additional Information

  • Education

  • SchoolAddressYears CompletedMajorDegree or Diploma 
  • SchoolAddressYears CompletedMajorDegree or Diploma 
  • Military

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Work Experience

    Please list ALL work experience beginning with your most recent job held.
  • EmployerAddressSupervisorStart DateEnd DateStarting SalaryFinal SalaryPhone NumberLast Job TitleReason For LeavingJob(s) HeldMay we contact this employer? 
  • References

    Exclude relative and former employers.
  • NamePhone NumberCircumstances of Your Acquaintance 
  • I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that, should this application contain any false or misleading information, my application may be rejected or my employment with this company terminated.
  • Date Format: MM slash DD slash YYYY