info@cityofasburypark.com
1 Municipal Plaza , Asbury Park , NJ, 07712 , US
732-775-2100
SEASONAL FIREFIGHTER / EMT
Full Name
Date of Birth
Current Address
Previous Address
Are you 18 years of age or older?
Have you ever pled “guilty: or no contest: to, or convicted of a crime?
Have you ever been arrested for a crime, disorderly or petty disorderly offense?
Have you applied to the City of Asbury Park before?
Indicate preferred work schedule: (Check All That Apply)
May we contact current employer?
Date you can start working
Are you a U.S. citizen?
Have you ever been fired or asked to resign from any job or position listed below?
Full Address
Are you a veteran?
Upload File(s)
List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years history recommended. If more than 3 employers please attach an additional document with additioanl employers.Â
Supervisor
Started
Ended (Use today's date if still employed)
As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.
If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical and/or mental examination and a drug test. I also understand that some positions may require background and criminal checks. I understand and agree to the information shown above.
Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.
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