Home Application for Employment

Application for Employment

The Town of Louisburg is an Equal Opportunity Employer. The Town of Louisburg considers applications for all positions without regard to race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship status, genetic information or any other legally protected status.
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How Did You Learn About Us?
Name
Address
Best time to contact you at home is:
:
If you are under 18 years of age, can you provide required proof of your eligibility to work
Have you ever filed an application with us before?
Have you ever been employed with us before?
Do any of your friends or relatives, other than spouse, work here?
Are you currently employed?
May we contact your present employer?
Are you lawfully authorized to work in the United States?
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If you are available to work temporarily please indicate dates available:
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To
To

Education

High School
Address
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Undergraduate College
Address
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Graduate Professional
Address
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Other (Specify)
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Employment Experience

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, sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship status, genetic information or any other legally protected status.
Employer
Address
Employee
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Employer
Address
Employee
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Employer
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Employee
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Employer
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Employee
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You may exclude memberships which would reveal sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, citizenship status, genetic information or any other legally protected status.

Additional Information

Summarize special job-related skills and qualifications from employment acquired from employment or other experience.
For Example: Terminal, Word Processing, Spreadsheet, Shorthand, Production/Mobile Machinery (list)

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Reference(s)

Reference
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Phone
Address
 
Reference
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I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. In the event of employment, I understand that false or misleading information given in my application interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Town of Louisburg.
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