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Green Township Employment Application - Public Services & Parks Department

Green Township Application for Employment - Public Services & Parks Department

Green Township is an Equal Opportunity Employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, disability or handicap, veteran status, gender, national origin, ancestry, marital status, age or sexual orientation.

INSTRUCTIONS: (PLEASE READ CAREFULLY)
1. An application will be rejected if not complete and not submitted by the final filing date, when applicable.
2. Resumes may be added, but not substituted for completion of this application.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Email:
* Daytime Phone: ()  –
* Address:
* City:
* State:
* ZIP:

Alternate Address Street. City, State, Zip:
 
* Date of Application
 
*

PERSONAL INFORMATION



Are you a United States citizen?
 
If you are not a United States citizen, are you authorized to work in the United States?
 
* Are you at least 18 years old?
 
* Do you have a valid Ohio Driver's License?
 
If yes, License No.
 
* Do you have a valid CDL License?
 
CDL - STATE? CLASS?
 
* Have you ever been convicted, served a jail or prison sentence, or been placed on probation because of committing a felony or misdemeanor (other than a traffic violation or juvenile offense)?
 
If you answered yes to the question above, please provide details below. (A criminal record will not necessarily exclude you from employment. Please give all facts so that an accurate decision may be made)
 
* Have you ever been employed by Green Township?
 
If you answered yes to the question above, please provide the following.

Date:
 
Reason for leaving:
 
* Have you ever been employed or attended school under any other names?
 
If you answered yes to the above question, please list the name or names:
 
* Do you have relatives working for the Green Township?
 
If you answered yes to the question above, please list name and relationship:
 
* Position(s) applying for:
 
* If an offer of employment is made, when would you be available for work?
 
* Are you currently employed?
 
*

EDUCATION



Name and Address of High School
 
* Diploma or Degree?
 
* Major / Subjects of Study?
 
Name and address of College
 
Diploma or Degree?
 
Major / Subjects of Study?
 
Name and address of specialized training, trade schools, etc.
 
Diploma or Degree?
 
Major / Subjects of Study?
 
Name and address of other education
 
Diploma or Degree?
 
Major / Subjects of Study?
 
Please list areas of highest proficiency, special skills, or other items that may contribute to your abilities in performing the above mentioned position.
 

PREVIOUS EXPERIENCE


Please List Beginning with most recent

Dates Employed:
 
Company Name:
 
Address:
 
Position Held:
 
Last Salary:
 
Supervisor's Name and Telephone Number:
 
May we contact this employer?
 
List tasks performed and reason for leaving:
 
PREVIOUS EXPERIENCE 2

Dates Employed:
 
Company Name:
 
Address:
 
Position Held:
 
Last Salary:
 
Supervisor's Name and Telephone Number:
 
May we contact this employer?
 
List tasks performed and reason for leaving:
 
PREVIOUS EXPERIENCE 3

Dates Employed:
 
Company Name:
 
Address:
 
Position Held:
 
Last Salary:
 
Supervisor Name and Telephone Number:
 
May we contact this employer?
 
List tasks performed and reason for leaving:
 
*

MILITARY SERVICE



Are you a veteran of the U.S. Armed Services?
 
If yes to the question above, list the branch and type of discharge:
 
Dates of service (From / To):
 
Rank at Discharge:
 

PERSONAL REFERENCES


Former employers and relatives may not be used as personal references.
 
* REFERENCE #1

Name and Occupation
 
* Address
 
* Telephone Number
 
* REFERENCE #2

Name and Occupation
 
* Address:
 
* Telephone Number:
 
* REFERENCE #3

Name and Occupation:
 
* Address:
 
* Telephone Number:
 
Attach Resume and/or Picture (max size: 30MB):
Add Another FIle

CAPTCHA

Check here to have email confirmation of this submission.

* Information is required.

Please use the attachment option above to include your resume with your application.

Please read the following statements carefully and indicate your understanding and acceptance by submitting the application.

  1. I certify that all the information provided by me in connection with my application, is true and complete, and I understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire or, if hired, termination.
  2. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the United States. Green Township participates in the E-Verify system through USCIS.
  3. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you.
  4. I understand that disclosure of my Social Security Number (SSN) is optional. The organization which I am applying may use the SSN for administrative tracking purposes and for identification of individuals. This is in accordance with the Federal Law U.S.C. 552a Section (b)(7).
  5. I understand that if hired, a pre-employment drug screening and background check will be required.

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