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.

Question Title

Which position(s) are you applying for? (Required.)

Question Title

Name

Question Title

Valid Driver's License State & Number (Required.)

Question Title

Address

Question Title

Phone

Question Title

What is your preferred way of contact? (Required.)

Question Title

Are you legally authorized to work in the United States? (Required.)

Question Title

When will you be available for employment? (Required.)

Question Title

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

Date

Question Title

Have you ever worked for the Town of Waynesville?

Question Title

If yes, please list the dates of employment.

Date
Date

Question Title

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

Question Title

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

Question Title

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

Military Service

Question Title

Are you a veteran?

Question Title

If yes, date of entry into active service.

Date

Question Title

Date of separation from active service.

Date

Question Title

Type of separation

Question Title

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

Question Title

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

Question Title

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

Question Title

Can you meet the attendance requirements of this job?

Question Title

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.

Question Title

Reference One: Name, Address, and Phone Number

Question Title

Reference Two: Name, Address, and Phone Number

Question Title

Reference Three: Name, Address, and Phone Number

Education. Give your complete educational history.

Question Title

Name and address of last high school attended.

Question Title

Highest year completed:

Question Title

Name and location of college or university attended

Question Title

Years attended/completed:

Question Title

Did you graduate?

Question Title

Degree or Diploma Received and Subject of Study/Major:

Question Title

Name of graduate or professional school attended and location:

Question Title

Years attended/completed

Question Title

Did you graduate?

Question Title

Degree Received/Major Subject

Question Title

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

Question Title

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

Question Title

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

Question Title

How did you hear about this position? (Required.)

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.

Question Title

Upload your resume (Required.)

Question Title

Title of present or last position (Required.)

Question Title

Employer

Question Title

Name and title of supervisor

Question Title

Number of employees supervised by you

Question Title

Telephone number

Question Title

Dates of employment

Question Title

Duties

Question Title

Reason for leaving or desiring change

Question Title

Title of previous position

Question Title

Employer

Question Title

Name and title of supervisor

Question Title

Number of employees supervised by you

Question Title

Telephone number

Question Title

Dates of employment

Question Title

Duties

Question Title

Reason for leaving or desiring change

Question Title

Title of previous position

Question Title

Employer

Question Title

Name and title of supervisor

Question Title

Number of employees supervised by you

Question Title

Telephone number

Question Title

Dates of employment

Question Title

Duties

Question Title

Reason for leaving or desiring change

Question Title

Minimum compensation required

Question Title

Upload your cover letter (Optional)

Question Title

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.

Question Title

Applicant's Electronic Signature

T