City of Charlestown Employment Application

City of Charlestown Employment Application

Paper application and additional paperwork may be required upon hire. To apply in person please visit Charlestown City Hall, 304 Main Cross. Applicants for Part-Time Seasonal positions must be at least 16 years of age.
Personal Information:

Please complete all fields.
Position Desired: *
Full Name *

First Name Middle Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
E-mail
Birth Date

Month Day Year
Are You a U.S. Citizen?

Yes No
Do you have any family or friends that currently work for the city?
Date You Can Start

Month Day Year
Hourly Salary Desired
Have You Worked Here Before?

Yes No
Have You Applied Here Before?

Yes No
Education & Training

Please include any college, trade or technical education or certifications.
High School
Name of High School Attended
Years Attended or Current Grade:
Graduated?

Yes Still Enrolled
GPA
Extracurriculars, Clubs, Sports, Civic Engagement:
College
Name of College/University Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Certifications
Please list any certifications, endorsements, or other applicable information.
Current Employment
Current Employer
Name of Current Employer or NONE if not Employed
Position
Salary
Reason for Leaving?
Start Date

Month Day Year
May We Contact?

Yes No
Previous Employment
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

Month Day Year
End Date

Month Day Year
Previous Employer
Name of Previous Employer
Position
Salary
Reason for Leaving?
Start Date

Month Day Year
End Date

Month Day Year
References

Please include three personal and / or professional references.
Reference 1
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone
Email
Cover Letter & Resume (Optional)

You may also email attachments to Mayor@CityofCharlestown.com
Cover Letter
Resume
Submit Application

Please ensure all applicable fields are completed.
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Should be Empty:

City of Charlestown Employment Application

Personal Information:

Education & Training

Current Employment

Previous Employment

References

Cover Letter & Resume (Optional)

Submit Application