Fillable Personnel Division Employment Administration & Records Building P.O. (County of Morris)

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Personnel Division Employment Administration & Records Building P.O. (County of Morris)

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File type: PDF

U.S.A. forms for County of Morris

BROWSE COUNTY OF MORRIS (NJ) FORMS

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___________________________
___________________________
___________________________
______________________________________________________________________________________
___________________________
__________________________
____________
____________
___________________________
_________________________________________
_____________
The County of Morris
Application for
Personnel Division Employment
Administration & Records Building
P.O. Box 900 Date
Morristown, New Jersey 07963-0900
______________
The County of Morris is an Equal Opportunity Employer.
(Do not include any information regarding race, color, creed, religion, sex, national origin, or handicap.)
Complete entire application. All fields are required unless otherwise noted.
Name
First
Middle
Last
Home Address
Number & Street
City
County
State
Zip Code
Are you under 18 years of age?
Do you reside in Morris County?
Are you legally employable?
Yes
No
Yes
No
Yes
No
Have you been employed here before?
Names of friends or relatives employed here?
Yes
No
Dates:
From ___/___ to ___/___
In case of emergency, notify:
Name
Address
Phone Number
Position Desired
Full Time
Part Time
Days/Hours if Part Time
Salary Expected
Date Available
Select a position
I><
___________________________
___________________________
___________________________
______________________________________________________________________________________
__________________________________________________
_____________________________
___________________________________________
_________________________________________
EDUCATION
If information is not available, please write “N/A”
Highest Year Attended
Name and Location of School
Major Course of Study
and Degree Earned
Were you
graduated?
Grammar School
5
6
7
8
High school
0
1
2
3
4
College
0
1
2
3
4
Trade School, Tech School
College, Apprenticeship,
Other
MILITARY SERVICE
Branch of Service
Rank
Specialty
SPECIAL SKILLS
Special Skills or Training Received
Hobbies & Interests Current Part Time or Personal Are you now or have you ever
Business been enrolled in a State
administered pension system?
___________________________
___________________________
Yes
No
EMPLOYMENT RECORD
A resume may supplement but not substitute this information.
Most Recent Last Employer
Name of Company
Type of Business
Address
Street and Number
City
County
State
Zip Code
____________________________
_________________
_____________
_____
_________
Title of Job
Employed From
To
____________________________
_________________
_____________
Description of Work
Name of Your Supervisor
Supervisor’s Title
Reason for Leaving
May we contact this employer?
___________________________________________
Yes
No
__________________________________________________
_____________________________
___________________________________________
_________________________________________
__________________________________________________
_____________________________
___________________________________________
_________________________________________
Previous Employer(s) (List in similar order)
Name of Company
Type of Business
Address
Street and Number
City
County
State
Zip Code
____________________________
_________________
_____________
_____
_________
Title of Job
Employed From
To
____________________________
_________________
_____________
Description of Work
Name of Your Supervisor
Supervisor’s Title
Reason for Leaving
May we contact this employer?
___________________________________________
Yes
No
Name of Company
Type of Business
Address
Street and Number
City
County
State
Zip Code
____________________________
_________________
_____________
_____
_________
Title of Job
Employed From
To
____________________________
_________________
_____________
Description of Work
Name of Your Supervisor
Supervisor’s Title
Reason for Leaving
May we contact this employer?
___________________________________________
Yes
No
Name of Company
Type of Business
__________________________________________________
_____________________________
Address
Street and Number
City
County
State
Zip Code
____________________________
_________________
_____________
_____
_________
Title of Job
Employed From
To
____________________________
_________________
_____________
Description of Work
Name of Your Supervisor
Supervisor’s Title
___________________________________________
_________________________________________
Reason for Leaving
May we contact this employer?
___________________________________________
Yes
No
REFERENCES
Do not give Relatives or Former Employees as References
Name
Street
City
State
Zip
____________________________
__________________
__________________
____
_________
Telephone Occupation Known for
how long?
____________________________
____________________________________________
_________
Name
Street
City
State
Zip
____________________________
__________________
__________________
___
_________
Telephone Occupation Known for
how long?
____________________________
____________________________________________
_________
Name
Street
City
State
Zip
____________________________
__________________
__________________
____
_________
Telephone Occupation Known for
how long?
____________________________
____________________________________________
_________
On September 01, 2011, the “New Jersey First Act”, P.L. 2011, 270 (N.J.S.A. 52:14-7), became effective.
Under this residency law, all employees of the State and local government must reside in the State of
New Jersey from date of hire until separation. For more information on the aforementioned please refer
to the following web site; http://www.state.nj.us/csc/about/news/safety/njfirstact.html.
I hereby authorize investigation of all statements contained in this application. I hereby further
agree to undergo a physical examination by a physician selected by the County of Morris. Pre-
employment medical examination will include controlled substance abuse screening test.
I understand that misrepresentation or omission of facts called for in this application is cause for
cancellation of the application and/or separation from the County's service; if I have been
employed, I agree to abide by all rules and regulations set forth by the County of Morris.
I also understand that the job I am applying for is temporary, pending successful completion of
Civil Service Examination and appointing procedures.
I hereby release the County of Morris or those individuals or corporations who provide
information relating to my prior employment or character from all liability whatsoever that may
issue from securing such information.
SIGNATURE
By checking this box you have agreed that your electronically typed signature is as legally
binding as your hand-written signature.
/S/ _____________________________________________________________________
If your application is completed by someone other than applicant, the following must be signed:
I hereby attest that all statements on the application are true and that the applicant has
complete knowledge and understanding of all information on the form.
Date
______________________
Signed
/S/__________________________________________________
Address
_____________________________________________________
_____________________________________________________
_____________________________________________________
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Personnel Division Employment Administration & Records Building P.O. (County of Morris)

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Completed 18 July 2020

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