Fillable Town of Ocean City Employment Application (Please Print) (Town of Ocean City)

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Town of Ocean City Employment Application (Please Print) (Town of Ocean City)

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The Town of Ocean City Employment Application (Please Print) (Town of Ocean City) form is 5 pages long and contains:

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Where: ______________________________________
Town of Ocean City
P.O. Box 158
Ocean City, MD 21843
410 289-8822
www.oceancitymd.gov
Employment Application (Please Print)
Applicants for all positions are considered without regard to race, color, religion, sex, national
origin, age, marital status, or the presence of disabilities.
Date of Application: ______/ _____ / ______
Position Applied For: _______________________________________________________________________
Referral Source:
❏ Recruiting Team ❏ Former/Current Employee ❏ College Sources
❏ Town’s Website ❏ Advertisement ❏ Walk-In
❏ State Job Service
Name: ____________________________________________________________________________________
Last First Middle
Address: __________________________________________________________________________________
Number Street City State Zip Code
Home Phone: ( ) ____- ________ Cell Phone: ( ) ____- ________ Email: _____________________
Are you at least 18 years of age?
❏ Yes ❏ No
Have you ever been employed by the Town of Ocean City before?
❏ Yes, Date _____ / _____/ _____ ❏ No
Are you employed now?
❏ Yes ❏ No May we contact your present employer? ❏ Yes ❏ No
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
❏ Yes ❏ No (Proof of citizenship, permanent resident status or immigration status entitling you to engage in
employment in the U.S. will be required prior to employment.)
The date you are available for work. ______ / ______ / ______
Available to work:
❏ Full Time ❏ Part Time ❏ Seasonal/Temporary ❏ All
Are you on a lay-off and subject to recall?
❏ Yes ❏ No
Have you ever been convicted of a felony?
❏ Yes ❏ No
(Conviction will not necessarily disqualify applicant from employment)
If yes, please explain: ________________________________________________________________________
__________________________________________________________________________________________
Equal Employment Opportunity/ Affirmative Action Employer
(Revised 4/2/2012)
2
Ph. Number
Ph. Number
Ph. Number
3
3
3
(Revised 4/2/2012)
4
(Please Print) Date:______/_____/_________
Position Applied For: __________________________________________________________
Name (Last)________________________________First______________________________Middle______
Armation Action Survey
Government Agencies require periodic reports on the sex, ethnic, disability and veteran status of applicants.
is data is for analysis and armation only.
Check one: Male Female
ETHNIC\RACE GROUP (please check one):
Hispanic or Latino:
persons of Mexico, Puerto Rico, Cuban, Central or South America, or other Spanish
culture or origin, regardless of race (if you have selected this category, do not select from the racial groups below)
Non-Hispanic/Latino: (if you have selected this category, do not select from the racial groups below)
Select one of the following racial categories:
American Indian or Alaskan Native:
person having origins to the indigenous people of North
or South America, and who maintain cultural identication through tribal aliation or community
attachment
Asian: person having origins in the original people of the Far East, Southeast Asia, of the Indian Sub
continent, including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan,
the Philippine Islands, ailand and Vietnam
Black or African American: person having origins in the black racial groups of Africa
Native Hawaiian or Other Pacic Islander: person having origins in the people of Hawaii, Guam,
Samoa, or other Pacic Islands
Two or More Races: person who identify with more than one of the above races
White: person having origins in the original people of Europe, North Africa, or the Middle East
Decline Self-Identication:
If you do not wish to self identify your gender, ethnicity or race, please check the box below:
I do not wish to self identify
(Revised: 8/2017)
Applicant Data Record
Applicants are considered for position(s) applied for without regard to race, color, religion, sex, national origin,
age, marital or veteran status, medical condition or disibility.
As employers, we comply with government regulations and armation action responsibilities.
Completion of this form is strictly VOLUNTARY. Your cooperation in providing this informaiton will
help us comply with government record keeping, reporting and other legal requirements - ank You.
is data will be kept in a Condential File separate from the Application for Employment.
Ocean City Beach Patrol
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Town of Ocean City Employment Application (Please Print) (Town of Ocean City)

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Completed 4 August 2020

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