Town of Oak Ridge Employment Application - Town of Oak Ridge, North Carolina

APPLICANT INFORMATION

Name *

Date of Application *

Address *

Phone Number *

Email Address *

Available Start Date

Social Security No. *

Desired Salary

Title of position for which you are applying *

Are you a citizen of the United States? * Yes
No

If No, are you authorized to work in the U.S.? Yes
No

Have you ever worked for the town? * Yes
No

If so, when?

Have you ever been convicted of a felony? * Yes
No

If Yes, Provide Additional Information

EDUCATION

High School

Address

Dates Attended

From

Did you graduate? Yes
No

Degree/Diploma Earned

College or University Attended

Address

Dates Attended

From

Did you graduate? Yes
No

Degree/Diploma Earned

Additional Degree, License, Registration and/or Certificate (include issuing authority, date issued and expiration date, if applicable)

REFERENCES

Name and Address of Reference #1

Relationship

Company/Organization

Phone Number

Name and Address of Reference #2

Relationship

Company/Organization

Phone Number

Name and Address of Reference #3

Relationship

Company/Organization

Phone Number

PREVIOUS EMPLOYMENT

Are you currently employed? * Yes
No

Company

Phone Number

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates of Employment

From

Reason for Leaving

May we contact your previous supervisor for a reference? Yes
No

Company

Phone Number

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates of Employment

From

Reason for Leaving

May we contact your previous supervisor for a reference? Yes
No

Company

Phone Number

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates of Employment

From

Reason for Leaving

May we contact your previous supervisor for a reference? Yes
No

MILITARY SERVICE

Branch

Dates of Service

From

Rank at Discharge

Type of Discharge

If other than honorable, explain

RESUMÉ OR CV

In addition to completing this application, please email your resumé or CV to Info@oakridgenc.com and note the Position Title in the subject line of your email.

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature (Please Type Your Name) *

Date of Signature *

* - denotes required field