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Employment-app-test

There are no job openings available at this time. Please check back for future opportunities.

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Position for which you are Applying

Your Details

Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone

Date of Birth *

May we contact you at work?

Yes
No

Are you legally eligible to work in the United States of America

Yes
No

(In accordance with Federal Law, proof of eligibility for United States employment will be required if you are hired)

Have you ever been employed by the City of Summit or any of its agencies

Yes
No

Are you related to any member of the Common Council

Yes
No

Since your 18th birthday, have you been convicted of a crime, other than a traffic violation in any state?

Yes
No

Education

Did you graduate from high school? *

Yes
No

If not, do you have a GED? *

Yes
No

Do you have any college or university experience? *

Yes
No

College/University Name

City, State, Country

Major/Course of Study

Credits/Degree Received

College/University Name

City, State, Country

Major/Course of Study

Credits/Degree Received

College/University Name

City, State, Country

Major/Course of Study

Credits/Degree Received

Do you have any Trade School or other training experience

Yes
No

Trade or Other Special School

Name of Course or Training

Completed Satisfactorily

(please select one)

Trade or Other Special School (copy)

Name of Course or Training

Completed Satisfactorily

(please select one)

Trade or Other Special School

Name of Course or Training

Completed Satisfactorily

(please select one)

Trade or Other Special School

Name of Course or Training

Completed Satisfactorily (copy)

(please select one)

List any licenses or certificates that are related to the position you seek

List any of your professional, trade, business, or civic activities that relate to the position you seek

(If you prefer, you do not need to list any activites that might indicate race, color, religion, gender, marital status, national origin, age, or disability)

Driver's License

Is a driver's license required for this position? *

If driving a car or other vehicle is required for this position, do you have a valid NJ Driver's License?

If no, do you have a Driver's License from another state?

Which State?

List any license restriction other than eye glasses:

in like and

If a Commercial Driver's License is required, do you possess a valild NJ CDL?

If yes, please enter license number and class below:

List any license restriction other than eye glasses:

Employment History

Begin with your current or most recent experience, and go back at least 10 years if applicable. Include all paid and unpaid experience you think qualifies you for this experience. Also include any military experience. At the end of this form, you may attach a document if needed to show full employment history

Employer #1

Start Date

End Date

Title or Position Held

Place of Employment

Employment Address

Address Line 1

Address Line 2

City

State

Zip Code

Hours Per Week

Starting Rate

Ending Rate

Name and Title of Direct Supervisor

May we contact supervisor?

Phone

Reason for Leaving Position

Describe your Duties

Would you like to list a second employer?

Employer #2

Start Date

End Date

Title or Position Held

Place of Employment

Employment Address

Address Line 1

Address Line 2

City

State

Zip Code

Hours Per Week

Starting Rate

Ending Rate

Name and Title of Direct Supervisor

May we contact supervisor?

Phone

Reason for Leaving Position

Describe your Duties:

Would you like to list a third employer?

Employer #3

Start Date

End Date

Employment Address

Address Line 1

Address Line 2

City

State

Zip Code

Hours Per Week

Starting Rate

Ending Rate

Name and Title of Direct Supervisor

May we contact supervisor?

Phone

Reason for Leaving Position

Describe your Duties

Additional Information

Special Skills & Experience *

List any special skills, training, licenses, certifications, languages you speak or read and write, or other factors that make you especially qualified for the position for which you are applying.

Comments & Additional Information *

Is there any additional information about you that we should consider?

Name

Phone

Number of Years Known

Name

Phone

Number of Years Known

Name

Phone

Number of Years Known

Would you like to submit your resume? *

Upload your resume here:

Drag & Drop Files, Choose Files to Upload

Understandings and Agreements

Please read through and select all agreements below.

Multiple Choice

As an applicant for a position with the City of Summit, I understand and agree that I must provide truthful and accurate information in this application and on any supplementary material submitted with this application. I understand that my application may be rejected if any information is not complete, true, and accurate. If hired, I understand that I may be separated from employment if the City later discovers that information on the form was incomplete, untrue, or inaccurate.

Multiple Choice (copy)

Authorization to Release Information: I give the City of Summit the right to investigate the information I have provided and to contact former employers (except where I have indicated they may not be contacted). I give the City the right to secure additional job-related information about me. I release the City of Summit, its representatives, and all persons and organizations from which it seeks information about me from all claims and liability arising out of the City's investigation, or from supplying accurate information about me. I release from all claims and liability anyone who provides the city of Summit with job-related information about me.

Multiple Choice (copy) (copy)

I understand that if employed, I may resign at any time and that the City may discharge me at any time in accordance with the City's established policies and procedures. No City representatives may make any assurances to the contrary.

Multiple Choice (copy) (copy) (copy)

I understand that I must submit proof of U. S. citizenship or the legal right to work in the U. S. if I am hired. I also understand that I may be required to pass a pre-employment drug test, medical examination, physical examination, psychological test, and/or other tests relevant to the position I seek. I also understand that some positions involving public safety public works, and access to confidential information also involve complete background and criminal checks.

Confirm and Submit

Please re-enter your name and submit your employment application.

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Address: 75 Maple Street, Summit, NJ 07901

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