Fillable APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer (Town of Secaucus, New Jersey)

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APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer (Town of Secaucus, New Jersey)

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The APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer (Town of Secaucus, New Jersey) form is 3 pages long and contains:

  • 1 signature
  • 29 check-boxes
  • 103 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Secaucus, New Jersey

BROWSE TOWN OF SECAUCUS, NEW JERSEY (NJ) FORMS

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An Equal Opportunity Employer
APPLICATION FOR EMPLOYMENT
(Please Print)
Application Date: _____/_____/_____
Last Name:
First Name:
Middle Initial:
Social Security #:
Street Address:
City:
State:
Zip Code:
Home Number:
Cell Number:
E-mail:
How Did You Learn About Job(s) with the Town?
Advertisement: ______________________ Employee referral : _____________________________________ Job Fair: __________________________
Self: ______________________________ Relative:______________________________________________ Other: ___________________________
EDUCATION
List Schools
Attended
Name and
Location of School
Degree
Obtained
Course of Study
Major / Minor
Did You
Graduate?
High School
Yes No
College
Yes No
Other
(Specify)
Yes No
GENERAL
1. Have you worked for the Town of Secaucus? If yes, when? ______________________
Yes No
2. Have you applied to the Town of Secaucus in the past 24 months? If yes, when? _____________
Yes No
3. If you are under 18 years of age, can you provide required proof (working papers) of your
eligibility to work?
Yes No
4. Are you currently employed?
Yes No
5. Do you possess a valid driver license?
Yes No
6. Do you possess a Commercial Class B driver’s license with a passenger endorsement?
Yes No
7. Are you a U.S. Citizen or, pursuant to U.S. Immigration Laws, authorized to accept and assume
immediate employment with the Town of Secaucus?
Yes No
8. Do you currently have any relatives working for the Town of Secaucus? If yes,
Employee’s Name: _______________________________________________________
Relationship to you: _______________________________________________________
Department: _______________________________________________________
Yes No
9. Were you in the U.S. Armed Forces? If so, what branch? ________________________________
Yes No
TOWN OF SECAUCUS
EMPLOYMENT HISTORY
Start with your present or last job. Include any job-related military service assignments. You may exclude organizations, which
indicate race, color, religion, gender, national origin, disability or other protected status.
Month/Year
of
Employment
From:
To:
Current Employer’s Name/Address
Brief Description of Work Performed
Current Job Title
May we contact?
Yes No
Current Supervisor’s Name / Title / Phone
Reason For Leaving
Annual Salary
Month/Year
of
Employment
From:
To:
Employer’s Name/Address
Brief Description of Work Performed
Job Title
Supervisor’s Name/Title/Phone
Reason For Leaving
Annual Salary
Month/Year
of
Employment
From:
To:
Employer’s Name/Address
Brief Description of Work Performed
Job Title
Supervisor’s Name/Title/Phone
Reason For Leaving
Annual Salary
Month/Year
of
Employment
From:
To:
Employer’s Name/Address
Brief Description of Work Performed
Job Title
Supervisor’s Name/Title/Phone
Reason For Leaving
Annual Salary
Month/Year
of
Employment
From:
To:
Employer’s Name/Address
Brief Description of Work Performed
Job Title
Supervisor’s Name/Title/Phone
Reason For Leaving
Annual Salary
Special Skills and Qualifications - Summarize special job-related skills and qualifications acquired from employment or
other experience.
References (Required) Please list supervisors and/or other company representatives who are familiar with your skills and job
performance; OR please list persons who are not related to you and whom you have known at least one year.
Name
Title
Address
Phone
Please explain why you are interested in working for the Town of Secaucus while addressing how your
skills, experiences and career interests match this position.
(Your answer should be brief and take no more than 5 minutes to complete.)
___________________________________________________________________________________________________________________________________
The Town of Secaucus is committed to providing equal opportunity to all employees and applicants for employment without
regard to race, color, creed, religion, gender, age, national origin, affectional or sexual orientation, ancestry, marital and familial
status, status as a Vietnam-era or special disabled veteran, disability, genetic information and or any other characteristic protected
by law.
PLEASE READ AND SIGN BELOW
The facts set forth in this application for employment are true and complete. I further understand that this application is not and is
not intended to be a contract of employment, nor does this application obligate the Town of Secaucus in any way if the employer
decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or
without notice, at any time, for any reason or no reason. No one other than the Governing Body has any authority to enter into any
agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in
writing signed. You are hereby authorized to conduct a background check through any investigative sources you choose. I hereby
give permission to contact any or all former employers concerning my prior work experience. I further understand that if I am
employed, any false statement on this application shall be considered sufficient cause for dismissal.
Signature of Applicant
Date
Revised 03/2016
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APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer (Town of Secaucus, New Jersey)

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Completed 16 July 2020

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