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Job Openings

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Patton Township

APPLICATION FOR EMPLOYMENT

(NON-POLICE)

Date*
Position for which applying*
Name *
First Name
Middle
Last Name
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Country
Telephone Number*
Email Address*
Are you at least 18 years of age?*
If no, state date of birth
Are you a citizen of the United States*
If no, are you authorized to work in the U.S.
Have you ever worked for Patton Township? If yes, when?
Documentation of identity and employment eligibility will be required to comply with applicable employment laws.
Did you complete High School?*
If yes, Name and Address of High School, Date of Graduation, Study Area
Please list any post secondary education, including name of institution, completion date, degree/designation obtained, course of study.
Please list any technical or professional designations, specialized experience such as heavy equipment operation or truck driving, certifications, computer skills, etc., that would be applicable to the position.
Do you have a valid Pennsylvania Driver's License?*
If yes, indicate class of license
Present Employer's Name*
Employer Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Dates of Employment*
Name and Title of Supervisor *
Supervisor's Telephone Number*
Job Title*
Salary*
Brief Description of job and duties *
Reason for Leaving*
May we contact your present employer?
Previous Employer: Name, Address, supervisor's name and title, contact number, dates of employment, salary, Job duties, job title, reason for living
Previous Employer: Name, Address, supervisor's name and title, contact number, dates of employment, salary, Job duties, job title, reason for living
Previous Employer: Name, Address, supervisor's name and title, contact number, dates of employment, salary, Job duties, job title, reason for living
Have you ever been dismissed or asked to resign from a position?*
If yes, please explain the circumstances.
Please include a name, address, telephone number, relationship of 3 references.
Have you ever been convicted of a felony? (Criminal Record will not necessarily from employment.)*
Please describe your interest in this position and summarize any additional information regarding your qualifications.
I hereby authorize and hold harmless from liability employers, organizations, and/or persons replying in response to background inquiries.
By submitting this form below, I certify that the submission is true and complete to the best of my knowledge. False statements are sufficient cause for dismissal. I understand that to qualify for employment, I may be subject to a background investigation and a pre-employment physical examination. (Separate authorizations will be requested as necessary).
Patton Township is an Equal Opportunity Employer
Signature*