Application for Employment

Application for Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. The City of Bainbridge is an equal opportunity Employer.

 

* Denotes a required field
 
Date of Application*
 Date of Application

Position

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Contact

*
*
 
*
*
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ZIP Code*
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Second portion of ZIP Code is optional.
*
Telephone*
-- ext 
*
 

Employment

If you are under the age of 18, can you provide required proof of your eligibility to work?*
Have you ever filed an application with us before?*
If yes, please provide a date 
 If yes, please provide a date
Have you ever been employed with us before?*
 
Other than a spouse, do you have any relatives or friends employed here?*
Are you currently employed?*
If yes, may we contact your employer? 
Can you provide proof of citizenship or immigration status?*
Date available for work*
 Date available for work
 
Are you available to work full-time?*
If yes, which shift(s) 
Are you available to work part-time?*
If yes, when? 
Are you currently on "lay-off" status or subject to recall?*
If required, are you willing to travel?*

Education

 
 
Did you receive a Diploma or Degree? 
 
 
Did you receive a Diploma or Degree? 
 
 
Did you receive a Diploma or Degree 
 
 
Did you receive a Diploma or Degree 
 
 
Did you receive a Degree or Diploma? 

Training & Skills

*
 
 
 
Specialized Skills 
 

Previous Employment (Starting with Most Recent)

 
 
 
Telephone 
-- ext 
 
 
 
 
 
 
 
Telephone 
-- ext 
 
 
 
 
 
 
 
Telephone 
-- ext 
 
 
 
 
 
 
 
Telephone 
-- ext 
 
 
 
 
NOTE TO APPLICANTS: Do not answer this question unless you have been informed about the requirements of the job for which you are applying.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? 
A review of the activities involved in such a job or occupation have been provided to me. 

References

 
 
 

Applicant's Statement:

I certify that answers given herein are true and complete. I authorize investigations 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 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 the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
*
Date*
 Date


Security Measure