Job application

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Name

First NameLast Name

Full Name

First NameMiddle InitialLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

E-mail

Phone Number

Area CodePhone Number

Are you able to submit proof that you are legally permitted to work in the United States?

Position Applied for:

Other positions you may be qualified for:

Available start date:

MonthDayYear

Do you have a valid driver's license?

Have you served in the U.S. Armed Forces?

If Yes, Branch:

Have you ever been employed by the Town of Castleton

Position:

Department:

Are you related to any Town of Castleton employee?

Name of Employee:

Relationship:

Department:

Are you a High School Graduate?

High School Equivalency?

Are you presently attending school?

Education

Name of Institution

Field of Study

Type of Degree

Did you Graduate?

Do you have additional education to enter?

Additional Education

Name of Institution

Field of Study

Type of Degree

Did you Graduate?

Type

Serial Number

Date Issued

Expiration Date

MonthDayYear

Computer Skills:

Other

Equipment/ Tools Operated

List experience with job related equipment

Computer Programs/skills

List computer programs used/skills mastered

Most Recent Employer:

Date started

MonthDayYear

Date ended

MonthDayYear

Employer Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Employer Phone Number

Area CodePhone Number

Job Title:

Supervisor:

May we contact this employer?

Description of Duties:

Reason for Leaving:

Do you have additional employers to enter?

Name of Employer:

Date started

MonthDayYear

Date ended

MonthDayYear

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Job Title:

Supervisor:

May we contact this employer?

Description of Duties:

Reason for Leaving:

Full Name

First NameLast Name

Business or Occupation

Phone Number

Area CodePhone Number

Full Name

First NameLast Name

Business or Occupation

Phone Number

Area CodePhone Number

APPLICANT’S STATEMENT AND AUTHORITY TO RELEASE INFORMATION

(Required for ALL Positions)

I understand that this employment application and any other Town documents are not contracts of employment, and any person hired may be terminated by the employer at any time for any reason. I understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by a prospective or existing employee. I understand that Town of Castleton may modify, change, or revoke any of its employment policies, pay practices, and benefits without my agreement. I hereby state that all answers on this application are true and understand that falsifying this information can lead to termination if hired. I UNDERSTAND THAT IN ACCORDANCE WITH TOWN POLICY, FINAL CANDIDATES FOR FULL TIME POSITIONS MAY BE SUBJECT TO AN ALCOHOL / DRUG TEST AS A CONDITION OF EMPLOYMENT.

I hereby authorize any and all persons, companies, or agencies to release any and all background information, of a confidential or privileged nature, including criminal history, relevant to this application and any pertinent information they may have to the hiring authorities of the Town of Castleton. I release all such parties from all liability of every kind as the result of furnishing the same to Castleton. This information is to be used to assist the Town in determining my qualifications and fitness for the position I am seeking. I hereby release the Town of Castleton and its Select Board, officers, agents and employees from any liability for the use of any and all of the foregoing information, in consideration for being reviewed for the aforesaid position.

Should there be any questions regarding the validity of this release, you may contact me as indicated below.

Please attach your resume if available

Upload a File

Resume or additional relevant information can be attached.

CERTIFICATION BY APPLICANT (Read carefully before signing.) All information provided by me is true and correct to the best of my knowledge. I understand omissions or misrepresentations may be cause for rejection or, if employed, may be just cause for dismissal. I hereby authorize any former employer, person, firm, corporation or educational institution listed herein including this municipality to answer any and all questions and provide documents and agree to hold all persons harmless for giving any and all truthful information within their knowledge or records. I understand this is a preliminary application and not a contract to employ me. Furthermore, in the event I am hired, my employment shall be completely voluntary. I agree to comply with all reasonable rules of the municipality as a condition of employment.

Town of Castleton is an equal opportunity employer. It is the policy of this municipality to provide equal employment opportunity to all applicants and employees without regard to race, color, religion, sex, national origin, ancestry, place of birth, age, marital status, pregnancy status, genetic information, physical or mental condition, HIV status, veteran status, sexual orientation, gender identity, or other category protected by state or federal law. No question is asked on this application or during the application process for the purpose of excluding any applicant due to the aforementioned protected categories or other category protected by state or federal law.

Signature

Date

MonthDayYear

Full Name

First NameLast Name

How did you learn about this position?

Gender

Race/Ethnic Origin (Select ONLY One)

If Yes, Please explain:

Date

Application for Employment

Education:

Professional License or Certificate, If Required

Skills

Employment History

Professional References

EQUAL EMPLOYMENT OPPORTUNITY QUESTIONAIRE