Employment Application

Instructions:

Please read APPLICANT NOTE below.

1. Complete all sections of this application
2. If more spcae is needed, use comments section at the end of this application.
3. Print clearly; incomplete or illegible applications will not be processed.
4. Some packets may include an AFFIRMATIVE ACTION QUESTIONAIRE. This information is gathered for affirmative action under Section 503 of the Rehabilitation Act of 1973. The information requested is voluntary and will be kept confidential. An applicant will not be subject to any adverse treatment for refusing to complete the questionnaire.
5. DO NOT FILL OUT ANY OTHER ATTACHED FORMS OR PAGES UNTIL INSTRUCTED.

Applicant Note:

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Affirmative action hiring questionnaire may be requested by qualified applicants. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. Depending on town policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the town.

References

Please list three professional references.

Previous Employment