Fillable Town Of Kennebunkport Employment Application Fillable

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Town Of Kennebunkport Employment Application Fillable

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  • 6 check-boxes
  • 139 other fields

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Town of Kennebunkport
Application for Employment
We consider all qualified applicants for all positions without regard to race, color, religion, sex, sexual
orientation, national origin, age, marital or veteran status, physical or mental disability or handicap, or
any other legally protected status.
APPLICANT INFORMATION
Position(s) Applied For:
Date of Application:
How did you hear about the position you are applying for?
Advertisement
Facebook
Friend/Relative
Town Website
Employment Website
Which one? ____________________
Other___________________________
First Name
Last Name
Address
Street
City
State
Zip Code
Home Phone Number
Cell Phone Number
Email
If you are under 18 years of age
Can you provide required proof of your eligibility to work?
Yes
No
Please provide your age (only if under 18) _______
Are you legally qualified to work in the United States?
Yes
No
Have you ever been employed by the Town of Kennebunkport?
Yes
No
If yes, give the department and dates: _________________________ From: __________ to ___________
Are you currently on “lay off” status and subject to recall?
Yes
No
Are you available to work:
Full Time
Part Time
Shift Work
Temporary
Have you been told the essential functions of the job or have you been shown
a copy of the job description listing the essential functions of the job?
Yes
No
Can you perform the essential functions of the job with or without
reasonable accommodation?
Yes
No
On what date would you be available to work?
___________________________
Can you travel if the job requires it?
Yes
No
Have you ever been convicted of or pleaded guilty or nolo contendere (no contest)
to a felony?
Conviction will not necessarily disqualify an applicant from employment.
Yes
No
If yes, please give the date and nature of each felony and its disposition:
✔
✔
✔
Education
Have you graduated from High School or obtained a general equivalency
diploma (G.E.D.)?
Yes
No
If no, what is the highest grade completed?
5 6 7 8 9 10 11 12
Name of High School or Institution
Location
Undergraduate College/University
School Name and Location
Years Completed
Graduated?
Yes
No
Diploma/Degree
Major/Course of Study
Graduate/Professional
School Name and Location
Years Completed
Graduated?
Yes
No
Diploma/Degree
Major/Course of Study
Language Proficiency
If relevant to the position for which you are applying, please indicate any foreign languages you
can speak, read, and/or write
State good, fair, or poor
Languages (specified)
Speak
Read
Write
Special Skills and Certifications
Summarize special job-related experience, skills or certifications acquired from employment or other
experience that you believe may be relevant to the position for which you are applying.
Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities.
You may exclude organizations which indicate race, color, religion, gender, national origin, disability, handicap,
sexual orientation, or other protected status.
Are you currently employed? Yes No
May we contact your present employer? Yes No
Employer
Phone Number
Address
Job Title
Supervisor
Work Performed
From __________ to ___________
Reason for Leaving
May we contact this employer regarding your employment record? Yes No
Employer
Phone Number
Address
Job Title
Supervisor
Work Performed
From __________ to ___________
Reason for Leaving
May we contact this employer regarding your employment record? Yes No
Employer
Phone Number
Address
Job Title
Supervisor
Work Performed
From __________ to ___________
Reason for Leaving
Yes No
Have you ever had any job-related training in the United States Military?
If yes, please describe
Please list any relatives working for the Town of Kennebunkport
Name:
Relationship:
References
Please provide the following information for three references who are not related to you.
Name
Title
Relationship
Phone Number
Address
Name
Title
Relationship
Phone Number
Address
Name
Title
Relationship
Phone Number
Address
Applicant’s Statement
I certify that answers given herein are true and complete to the best of my knowledge. I authorize
investigation of all statements contained in this application for employment as may be necessary in
arriving at an employment decision. I understand that material omissions, false or misleading
information given in my application for employment or any addendum, during interview(s) or at any time
during the hiring process may result in disqualification from consideration or discharge from
employment if the omission, false or misleading statement or information is discovered after I have
been hired.
I hereby understand and acknowledge that, unless otherwise defined by applicable law or contract, any
employment relationship with the Town is of an “at will” nature, which means that I may resign at any
time and the Town may discharge the me at any time with or without cause. I further understand and
agree that this “at will” employment relationship may not be changed by any written document or by
conduct unless such change is specifically acknowledged in writing by an authorized Town
representative.
In the event of employment, I understand that I am required to abide by all rules and regulations of the
employer and that failing to do so may result in discipline up to and including immediate discharge.
__________________________ ________________
Signature of Applicant Date
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Completed 13 July 2020

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