Thomson Online Job Application

Name

First NameMiddle NameLast Name

Mailing Address

Physical Street Address

Mailing Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Phone Number

Format: (000) 000-0000.

Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

E-mail

example@example.com

High School Name and address

Did you graduate?

If not a high school graduate, do you have a GED?

College Name and Address

Course of study

Number of years attended

Did you graduate?

If yes, give date

Date

Degree obtained

College Name and Address

Course of study

Number of years attended

Did you graduate?

If yes, give date

Date

Degree obtained

If you are under 18 years of age, can you provide required proof of your eligibility to work?

If you are over 18 years of age, have you registered with the Federal Selective Service System (DRAFT) and can provide proof?

Are you legally eligible to work in the U.S.? (Proof of citizenship or immigration status will be required upon employment.)

Have you ever been employed with us before?

If yes, give date: give date

Are you currently employed?

May we contact your present employer?

Have you been convicted of, plead guilty, or no contest to a misdemeanor?

If yes, please give date and explanation

Do you have any relatives employed with us? Please include Name, Relation & Department

If this position requires a GA driver’s license

License #

Expiration Date

undefined

On what date would you be available for work?

Date

Are you available to work (circle all that apply):

Are you currently on "Lay-off" status and subject to recall?

Can you travel if a job requires it?

Have you been convicted of, plead guilty, or no contest to a felony?

Is it current?

If yes, please give date and explanation

Are you now or have you ever been the subject of an investigation by the Peace Officers Standards and Training Council?

Describe any specialized training, apprenticeship, skills, and extra-curricular activities that relate to the position for which you are applying.

Describe any job-related training received in the United States Military that relate to the position for which you are applying.

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or protected status. Failure to provide complete information regarding any job may result in disqualification of your application.

Employer Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Dates Employed - From

Date

Dates Employed - To

Date

Job Title

Supervisor’s Name

Pay (Hourly Rate/Salary) - Starting

Pay (Hourly Rate/Salary) - Final

May we contact this employer?

Work Performed

Reason for leaving

Employer Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Dates Employed - From

Date

Dates Employed - To

Date

Job Title

Supervisor’s Name

Pay (Hourly Rate/Salary) - Starting

Pay (Hourly Rate/Salary) - Final

May we contact this employer?

Work Performed

Reason for leaving

Employer Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Dates Employed - From

Date

Dates Employed - To

Date

Job Title

Supervisor’s Name

Pay (Hourly Rate/Salary) - Starting

Pay (Hourly Rate/Salary) - Final

May we contact this employer?

Work Performed

Reason for leaving

List professional, trade, business or civic activities and offices held. You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

State any additional information you feel may be helpful to us in considering your application.

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Reference 2

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Reference 3

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Applied Position

Cover Letter

Please do not exceed 200 words.

Upload Resume

Any Other Documents to Upload

You can share certificates, diplomas etc.

Applicant’s Statement

I certify that I have read and understand all questions in this application, and that my answers given herein are true and complete to the best of my knowledge. I understand that this application is not an offer of or a contract for employment. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I understand that false or misleading information given in my application or interview(s) may result in discharge any time during my employment with the City of Thomson. I understand that any intentional false statement will result in the disqualification of my application and/or prosecution for the offense of False Swearing (GA Code Section 16-10-71) punishable by a maximum fine of $1000 or by imprisonment for not less than one nor more than five years, or both. I further understand any erroneous answer(s) given by me during any part of the application process, whether intentional or not, will constitute a basis for my elimination from consideration for employment with the City of Thomson. I understand that if I do not wish to answer a question in the process, I may choose not to do so and my application will be terminated. I understand also, that I am required to abide by all rules and regulations of the employer (City of Thomson).

I understand résumés letters of references, etc., submitted with the application become the property of the City of Thomson and will not be returned. Some of the information I have provided on the application may be subject to public disclosure under the Georgia Open Records Act.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with the City of Thomson is an “at will” nature, which means that the Employee may resign at any time and the Employer (City of Thomson) may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization (City of Thomson).

I understand that this application for employment shall be considered active for a period of time not to exceed 45 days and if I wish to be considered for employment beyond this time period I should inquire as to whether or not applications are being accepted at that time.

Signature

City of Thomson Employment Application

Education

Employment Experience

Additional Information

References

Hiring

Applicant’s Statement