Application For Employment Page 2

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PERSONAL
Are you permitted to be lawfully employed in the United States?
Yes
No
(Proof of citizenship or immigration status will be required upon employment.)
Have you ever filed an application with the Township before?
Yes
No
Have you ever worked for the Township before?
Yes
No If yes, please state dates of employment and
department
Are you 18 years of age or over?
Yes
No
Driver’s License #
State
Class/Type
Is your driver’s license valid?
Yes
No
Are you a veteran of any branch of the United States Armed Forces?
Yes
No
Have you ever been convicted of a felony or misdemeanor?
Yes
No
If yes, please explain:
(Conviction will not necessarily disqualify applicant from employment.)
When will you be available for work?
______________________
How did you hear about the job? Walk-In
Newspaper Ad
Other
Explain
EDUCATION
High School
Name & Address of School
Number of Years Completed
Concentration
College/University
Name & Address of School
Number of Years Completed
Concentration
Other (Including Post Graduate Education)
Name & Address of School
Number of Years Completed
Concentration

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