Employment Application
Today's Date: Position Applying for:
EMPLOYEE INFORMATION
Name (last, first, middle):
Telephone: Alternate Telephone:
E mail:
Address (Street, Apt,
State, City, Zip):
Have you filed an application with the Town of
YES NO If yes, provide date:
Morristown before?
Have you ever been employed with the Town of
YES NO If yes, provide date:
Morristown before?:
Are you currently employed? If yes, may we contact your
YES NO present employer? YES NO
Are you available to work: Full Time Part Time Seasonally Shift Work
I am under the age of 18, and can provide required proof of eligibility to work.
EDUCATION
Years
Institution Name Completed Field of Study Graduate or Degree
High School
College/University
Business/Technical
Additional
EMPLOYMENT HISTORY
List most recent employment first. Include Summer or Temporary jobs. Be sure all of your experience or employers related to this
job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years
history is recommended.
Employer Name and Address Annual Pay Position/Title, duties, skills: Start Date End Date
Reason for leaving:
Employer Name and Address Annual Pay Position/Title, duties, skills: Start Date End Date
Reason for leaving:
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Employer Name and Address Annual Pay Position/Title, duties, skills: Start Date End Date
Reason for leaving:
Employer Name and Address Annual Pay Position/Title, duties, skills: Start Date End Date
Reason for leaving:
MILITARY
Are you a veteran?
YES NO Duty/Specialized Training:
SKILLS & QUALIFICATIONS
List Special Skills, Abilities or honors that should be
considered:
List types of computers, software, and other
equipment you are qualified to operate and/or repair:
List all Professional Licenses and Certifications that
you hold:
List any languages that you can speak, read and/or
write:
REFERENCES
List two personal references who are not relatives or former supervisors.
Name Address Telephone Occupation Years known
Name Address Telephone Occupation Years known
** SPECIAL NOTE: If applying for a Lifeguard position, you WILL be required to meet American Red Cross Standards. **
INFORMATION TO APPLICANT
As part of our procedure for processing your employment application, your personal and employment references may be checked. If you
have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may
make a written request for information derived from the checking of your references. If necessary for employment, you may be required to:
supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to
sign a conflict of interest agreement and abide by its terms.
I understand and agree to the information shown above.
Applicant Signature Date
Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to
provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional
and failure to provide it will have no affect on your application for employment. Page 2 of 2
