Instructions

This application form is designed to protect individual rights and privacy and to ensure equal employmentopportunity. All questions are considered important for employment and no other use is intended for the information you submit.
Complete this form to submit your application. Your application won’t be admitted until you click the “Done” button at the end of this form.

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* Which position(s) are you applying for?

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* Name

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* Valid Driver's License State & Number

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* Address

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* Phone

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* What is your preferred way of contact?

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* Are you legally authorized to work in the United States?

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* When will you be available for employment?

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* If you are under the age of 18, please provide your date of birth.

Date

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* Have you ever worked for the Town of Waynesville?

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* If yes, please list the dates of employment.

Date
Date

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* May we inquire of your present employer regarding your character, qualifications, etc.?

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* Are you related by blood or marriage to any person now employed by the Town of Waynesville?

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* If yes, give name(s), relationship(s) and department employing relative(s).

Military Service

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* Are you a veteran?

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* If yes, date of entry into active service.

Date

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* Date of separation from active service.

Date

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* Type of separation

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* Have you ever been convicted of an offense against the law or forfeited a bond?

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* If yes, please explain:

Note: A criminal record will not necessarily exclude you from employment. Such factors as the nature and gravity of the offense, the time passed since the conviction, and the nature of the job for which you have applied shall be considered. You may omit traffic violations of which you paid a fine of $30 or less. A criminal records check will be done to verify this information. Failure to disclose information may result in rejection of your application.
ADA

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* Can you perform the essential functions of this job, with or without reasonable accommodation?

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* Can you meet the attendance requirements of this job?

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* Do you have the required licenses to perform this job?

REFERENCES. If you wish to list references, list persons who are not related to you and who have knowledge of your qualifications for the position(s) for which you are applying, such as former co-workers, teachers, etc. Do not repeat the names of supervisors you will list under the Employment Record section of this application.

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* Reference One: Name, Address, and Phone Number

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* Reference Two: Name, Address, and Phone Number

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* Reference Three: Name, Address, and Phone Number

Education. Give your complete educational history.

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* Name and address of last high school attended.

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* Highest year completed:

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* Name and location of college or university attended

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* Years attended/completed:

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* Did you graduate?

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* Degree or Diploma Received and Subject of Study/Major:

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* Name of graduate or professional school attended and location:

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* Years attended/completed

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* Did you graduate?

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* Degree Received/Major Subject

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* List fields of work or activities for which you are licensed, registered, or certified, giving date(s) and source(s) of issuance.

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* List typing and clerical skills, machines you can operate, computer software in which you are proficient, and other skills in which you are proficient.

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* If a position requires specific training, indicate certifications or education received.

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* How did you hear about this position?

EMPLOYMENT RECORD. Answer questions for each period of employment. Include military service and previous employment with the Town of Waynesville. Failure to give complete information may result in rejection of your application. Begin with your present or last position. If more space is needed, use a continuation sheet. Experience acquired more than 10 years ago may be summarized in one block if it does not apply to the position(s) for which you are applying.
You may upload your resume as an alternative to completing the EMPLOYMENT RECORD section.

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* Upload your resume

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* Title of present or last position

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* Employer

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* Name and title of supervisor

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* Number of employees supervised by you

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* Telephone number

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* Dates of employment

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* Duties

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* Reason for leaving or desiring change

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* Title of previous position

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* Employer

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* Name and title of supervisor

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* Number of employees supervised by you

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* Telephone number

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* Dates of employment

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* Duties

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* Reason for leaving or desiring change

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* Title of previous position

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* Employer

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* Name and title of supervisor

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* Number of employees supervised by you

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* Telephone number

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* Dates of employment

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* Duties

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* Reason for leaving or desiring change

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* Minimum compensation required

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* Upload your cover letter (Optional)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* Anything else you would like us to know about you?

CERTIFICATE OF APPLICANT. I certify that I have given true, accurate, and complete information on this form to the best of my knowledge. I hereby authorize the Town of Waynesville to investigate my past employment, performance, salary, and educational history, as well as my criminal background; to gather any other information necessary to process my application for employment; and to administer any pre-employment testing, including but not limited to a pre-employment drug test, that is necessary. I also understand and acknowledge that a negative pre-employment drug test is a condition of employment with the Town of Waynesville. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

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* Applicant's Electronic Signature

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