TOWN OF DOUGLAS
APPLICATION FOR EMPLOYMENT
Referral Sources:
PERSONAL
Mailing Address
(if different)
GENERAL INFORMATION
If employed and you are under 18, can you furnish a work permit?
Have you filed an application in the Town of Douglas before?
Have you ever been employed in the Town of Douglas before?
Are you employed in the Town of Douglas now?
May we contact you present employer?
Can you, after employment, submit verification of your legal right to work in the United States?
EDUCATION, TRAINING, & EXPERIENCE
Source Name & Location of School Diploma/Degree Certificate
High School
Business, Technical, or
Correspondence Schools,
College & Graduate Schools:
Special Courses, Training :
Manual: List licenses you possess (Motor Vehicle Operator, CDL, Class I II III, Hoisting, Engineer, etc.)
Clerical: List office machines you can operate (computer/programs, fax, etc.)
The Town of Douglas is an Equal Opportunity Employer. Applicants are considered for all positions without regard to race,
color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status.
Position(s) Applied for:
Date of Application
salary desired:
advertisement
friend / relative
employment agency
other
job posting
walk-in
Last Name
First Name
Initial
Address
City
State
Zip Code
Address
City
State
Zip Code
Phone Number
email
yes
no
yes no
If yes, give date:
If yes, give date:
noyes
yes
no
noyes
yes
no
In case of emergency notify:
Enter numbers only, no dashes
