Village of Tigerton - Employment Application

Employment Application:
Current Open Positions:

Part Time Utility/Cemetery Clerk

Year round 20 hours per week to handle all office work for the Water/Sewer utility and Union Cemetery along with asisting public works staff with inspections.
Personal Information:
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
Are You a U.S. Citizen?

Yes No
Are you at least 18 years old?

Yes No
Employment Desired:
Position Applying For
Date You Can Start

Month Day Year
Salary Desired
Education:
High School
Name of High School Attended
Number of Years Attended
Graduated?

Yes
College
Name of College/University Attended
Number of Years Attended
Graduated?

Yes
Area of Study/Degree
Graduate School
Name of Graduate School 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
Skills/Qualifications:
Skills
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Please indicate whether you hold the following driver's licenses:

Class A Class B Class C State Issued
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:
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):
Cover Letter
Resume
NOTICE & AUTHORIZATION TO RELEASE CRIMINAL INFORMATION FOR EMPLOYMENT PURPOSES:
This position for which I am considering requires me to consent to a background check as a condition of employment. This check includes the following: criminal history, personal history, and financial history. Reference searches for felony and misdemeanor convictions, court records, driving records, personal references & past employment, bankruptcy and fraud at the county and federal level where I currently reside or have resided during the past 7 years; and sex offender registry searches at the county and federal levels in every jurisdiction where I have resided. Financial checks will only be used for positions handling money.

By submitting this application and providing my date of birth, I authorize the Village of Tigerton to conduct the criminal, personal, and financial background check described above. In connection with this, I also authorize the use of law enforcement agencies and/or private background check organizations to assist the Village of Tigerton in collecting this information.
Date of Birth
Submit Application:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement 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 compenstation 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.

To sign - use your mouse or finger to draw your signature.
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Employment Application:

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

References:

Cover Letter & Resume (Optional):

NOTICE & AUTHORIZATION TO RELEASE CRIMINAL INFORMATION FOR EMPLOYMENT PURPOSES:

Submit Application: