CITY OF BANGOR, MAINE - APPLICATION FOR EMPLOYMENT
Please ll out all questions. Use fourth page if more space is required for any item.
NAME: _______________________________________________________________________________ DATE: ____________________________
Last First Middle
ADDRESS: ______________________________________________________________________________________________________________
Street City State Zip code
HOME TELEPHONE: _____________________________________________ HOURS YOU MAY BE REACHED: ___________________________
CELL TELEPHONE: ______________________________________________
E-MAIL ADDRESS: ________________________________________________________________________________________________________
PERSONAL
Are you age 18 or older? YES NO
Have you ever worked for the City of Bangor? YES NO If yes, what year and department/division did you work?: ________________________
Are you eligible to be lawfully employed in the United States? YES NO
(Proof of citizenship or immigration status will be required upon employment)
Driver’s License? YES NO Class: _________________ Endorsements: _________________
List any family members presently employed by the City of Bangor (including spouse, parents, children, siblings, uncles, aunts, nephews,
nieces, and any of the same related as in-laws, step-relations, or half-relations.
NAME: _____________________________________________________ DEPARTMENT: _____________________________________________
MILITARY
Military Record:
Are you a Veteran? YES NO
Honorable Discharge? YES NO
Branch of Service: _______________________________________________________________________________________________________
Dates of Service: ________________________________________________________________________________________________________
If you belong to the reserves, indicate branch or unit: ____________________________________________________________________________
Name of High School: ______________________________________________________________________________________________________
Did you Graduate? Yes No
College or University: ______________________________________________________________________________________________________
Major Courses: ____________________________________________
Did you Graduate? Yes No
If Yes, with what Degree? __________________________________
Graduate Study, Business, Correspondence or Trade School Courses:
Describe: ________________________________________________________________________________________________________________
Major Courses: ____________________________________________
Did you Graduate? Yes No
If yes, with what Degree? ____________________________________
EDUCATION
How did you learn of this position?
City of Bangor Website Online Employment Website ______________________________ News Publication Friend/relative
Other: _______________________________________________________________________________________
OTHER
