Section 1 of 1 in this document

Application for Employment

Please print accurate answers for all of the following questions to the best of your ability. A resume shall not be accepted in lieu of this application, however a resume should be attached to the application, if applicable. Applicants requiring accommodations related to completion of this application should request them in advance of submission deadlines.

Name

Full Address

Are you seeking (check all that apply)

Date you can start working

Date Picker

Are you eligible to work in the United States?

Have you applied for employment with the City of Asbury Park before?

Do you have any relatives currently employed by the City of Asbury Park?

Are you a veteran?

Education (Please complete this section or attach resume)

High School

College/University

Business/Technical

Additional/Other

Employment History (Please complete this section or attach resume)

Current or most recent employer

Current or most recent employer

May we contact current employer?

Employer 2

Employer 2

Employer 3

Employer 3

Employer 4

Employer 4

Skills and Qualifications (Please complete this section or attach resume)

Upload File(s)

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References (list two personal references who are not relatives)

Reference 1

Reference 1

Reference 2

Reference 2

Resume and Cover Letter

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Certification

I have read and fully understand the questions asked in this application. I certify that all answers given by me are true and accurate. It is understood and agreed that any omission or misrepresentation by me of any fact in this application, or during any interview, will be sufficient cause for the cancellation of this application and/or separation from this employer's service if I have been employed.

I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release, from liability, the employer and its representatives from seeking such information, and all other persons, corporations, or organizations for furnishing such information.

I understand that I will be required to undergo a physical examination that may include, but not be limited to, health history, health screenings, medical evaluation, and drug testing, in order to determine my physical and mental fitness to perform with reasonable accommodation in the position sought.

I understand that upon offer of employment, the City of Asbury Park will conduct a background check. I also understand that employment is contingent upon passing the a background check and medical exam including drug testing. Failure of either will result in revocation of the offer of employment.

This employer is an Equal Opportunity Employer. The employer does not discriminate in employment and no questions on this application are used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law. This employer will endeavor to make reasonable accommodations as required by law for known physical, medical, or mental limitations of an otherwise qualified applicant with a disability unless doing so would impose undue hardship on the operation of our business.

This application is current for only sixty (60) days. At the conclusion of this time, if you have not heard from this employer and still wish to be considered for employment, it will be necessary to fill out a new application. I understand that this application does not represent an offer of, or a contract for, employment.

I understand that no representative of the employer has the authority to make any assurances to the contrary.

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