SEASONAL SNOW PLOW EMPLOYMENT APPLICATION

For Job Advertisements, please click the links below:

Seasonal Snow Plow Operator

Seasonal Employment Application

Date *

Date

Position Applying For: *

First Name *

Last Name *

Mailing Address *

Apartment/Unit

City/Town *

State *

ZIP *

Phone *

E-mail Address *

example@example.com

Commercial Drivers License (CDL) (Yes/No) *

CT Drivers License (Yes/No) *

Are you a citizen of the United States? *

YES NO

If no, are you authorized to work in the U.S.? *

YES NO

Have you ever worked for the City of Bridgeport before? *

YES NO

If so, when?

High School

From

Date

To

Date

Did you graduate? *

YES NO

Degree

College/University

From

Date

To

Date

Did you graduate?

YES NO

Degree

Other

From

Date

To

Date

Did you graduate?

YES NO

Degree

Full Name *

Relationship *

Company *

Phone *

Full Name

Relationship

Company

Phone

Full Name

Relationship

Company

Phone

Company *

Address *

Job Title *

Responsibilities *

From *

Date

To *

Date

Reason for Leaving *

Supervisor

May we contact your previous supervisor for a reference?

YES NO

Company *

Address *

Job Title *

Responsibilities *

From *

Date

To *

Date

Reason for Leaving *

Supervisor

May we contact your previous supervisor for a reference?

YES NO

Company

Address

Job Title

Responsibilities

From

Date

To

Date

Reason for Leaving

Supervisor

May we contact your previous supervisor for a reference?

YES NO

Attach Resume (if available)

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Image of Resume (if available)

For purposes of Affirmative Action, we are requesting that you fill out the data below. This data will in no way be used to influence your possible selection for any position. The purpose of collecting this data is statistical and may help this office to determine whether advertising is reaching all segments of the community.

GENDER *

FEMALE MALE

ETHNICITY:

HISPANIC or LATINO WHITE ASIAN BLACK or AFRICAN AMERICAN AMERICAN INDIAN or ALASKA NATIVE NATIVE HAWAIIAN or PACIFIC ISLANDER TWO or MORE RACES OTHER

Name

Relationship

Cell Phone

Name

Relationship

Cell Phone

I certify that all information supplied on this application is accurate and truthful to the best of my knowledge. I understand that any misrepresentation of facts is cause for refusal of employment and/or termination of employment. I understand that, if I am hired as a seasonal or part-time employee, I am not eligible for any City of Bridgeport sponsored benefits. In the case of an emailed application, entering your name above will constitute an electronic signature. You may be asked to sign this application in person if you are offered a position with the City of Bridgeport.

It is the policy of the City of Bridgeport to employ, train, compensate, and promote individuals without regard to race, religion, national origin, sex, sexual orientation, age, disability, veteran status, or other characteristics protected by law.

Signature *

Clear

CITY OF BRIDGEPORT, CONNECTICUT

For Job Advertisements, please click the links below:

Seasonal Snow Plow Operator

APPLICANT INFORMATION

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT

DEMOGRAPHICS

IN CASE OF EMERGENCY, PLEASE NOTIFY:

DISCLAIMER AND SIGNATURE