Kingston Employment & Boards/Commission Application

Employment & Boards/Commission Application
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Personal Information
Name*

First NameMiddle NameLast Name
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you 18 or older?*

YesNo
Are you prevented from lawfully becoming employed in the country because of visa or immigration status?*

YesNo
Employment / Position Desired
Position Applying For:*
Date You Can Start*

MonthDayYear
Date
Salary Desired*
Are you employed now?*

YesNo
If so, may we inquire of your present employer?*
Are you related to any city employee or city council member?*

YesNo
If so, state name:*
Referred by:*
Qualifications
EDUCATION - Please provide the name and location of schools you have attended.*
Number of Years Attended?*
Did you graduate?*

YesNo
Subjects Studied? *
Subjects of special study or research work:*
Special Skills:*
Activities (civil, athletic, volunteer, etc):*
U.S Military or Naval Service?*

YesNo
If yes, list branch and rank:*
Present Membership in National Guard or Reserves?*
Former Employers
#1 Date From:*

MonthDayYear
Date
#1 Date To:*

MonthDayYear
Date
Name of Former Employer #1:*
Address of Former Employer #1:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
#1 Salary of Past Position:*
#1 Position:*
Reason For Leaving:*
#2 Date From:*

MonthDayYear
Date
#2 Date To:*

MonthDayYear
Date
Name of Former Employer #2:*
Address of Former Employer #2:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
#2 Salary of Past Position:*
#2 Position:*
Reason For Leaving:*
#3 Date From:*

MonthDayYear
Date
#3 Date To:*

MonthDayYear
Date
Name of Former Employer #3:*
Address of Former Employer #3:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
#3 Salary of Past Position:*
#3 Position:*
Reason For Leaving:*
Which of these jobs did you like the best?*
What did you like most about this job?*
References
Reference #1 Name*

First NameLast Name
#1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
#1 Business Name:*
#1 Years Acquainted*
#1 Phone Number*
Please enter a valid phone number.
Reference #2 Name*

First NameLast Name
#2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
#2 Business Name:*
#2 Years Acquainted*
#2 Phone Number*
Please enter a valid phone number.
Reference #3 Name*

First NameLast Name
#3 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
#3 Business Name:*
#3 Years Acquainted*
#3 Phone Number*
Please enter a valid phone number.
Emergency Contact
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
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By signing below I certify that all the information on this application is true and complete. Falsifying information on this application can result in immediate termination.
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Employment & Boards/Commission Application

Personal Information

Employment / Position Desired

Qualifications

Former Employers

References

Emergency Contact

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