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HR Application

HR Application

Complete This Application in its Entirety

Position applied for:

First Name:                 Middle Name:            Last Name:

        

Address:                    

City:                     State:                    Zip:

        

Phone:  

Are you a U.S. Citizen?  Yes   No If not a citizen, indicate the type of permit in Block 17. 

Have you ever been discharged or terminated for reasons other than a layoff or lack of work; or have you ever resigned to avoid discharge?  Yes  No If yes, explain in Block 17

Were you in the Armed Forces?  Yes  No  

If so, which branch? 

From Duty Date:    To Duty Date: 

Rank at Discharge  Type of Discharge 

Are you over the age of 18? (21 for Police and Fire)

 Yes  No

Do you have any relatives who work for the City of College Park?

 Yes No  If yes, give their name and relationship in Block 17.

Have you ever been employed by the City of College Park?

 Yes  No

How did you hear about this opportunity?

 Newspaper  GMA  Website  Other

List the equipment, software you can operate and level of proficiency.List any other names under which you have worked, applied for work, or attended school. 

List any other names under which you have worked, applied for work, or attended school.

EDUCATION

List the names and locations of all schools attended. 

High School Attended 

From: 
From: 
 Total Months: 

Major Course Work Degree/Certficate:College/University/TechnicalFrom: 

From:  To: 

Major Course WorkDegree/CertificateSchool 3: 

From:  To:
 

Major Course Work:  Degree/Certificate: 

 

EXPERIENCE 

Begin with your current or most recent employment. List all jobs, including military service, along with periods of unemployment. Busure to describe the work you did fully and make note of any promotions you recievied. Attach additional pages if necessary.

Employer 1 Name and Location: 

Title: 

Responsibilities:

Full Time: Yes No

From:  To: 

Total Months:

Beginning Salary  Ending Salary

Supervisor's Name: 

Telephone: Reason for Leaving:

May we contact?

Yes No

 

Employer 2 Name and Location:

Title: 

Responsibilities:

Full Time: 

Yes No

From:  To: 

 

Total Months:

Begin Salary: End Salary:

Supervisor's Name:

Telephone:

Reason for Leaving:

May we contact? 

Yes No

Employer 3 Name and Location: 

Title:

Responsibilities:

Full Time: 

Yes No

From: 
To: 
 Total Months: 

Begin Salary:  End Salary: 

Supervisor's Name:

Telephone:

Reason for Leaving:

May we contact? 

Yes No

Other Information:

 

 

Personal References

List three persons who have knowledge of your character or abilities. Do not include relatives or former supervisors.

Please include the reference name, address, phone, and business/occupation for each.

Reference 1:

Reference 2: 

Reference 3: 
 

Electronic Signature 

Certification 

I hereby certify that the answers given by me to the foregoing questions and statements made by me are -full and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application or any supplements thereto, is cause tor rejection of my application or discharge at any time during my employment. I voluntarily authorize my former employers, schools, and persons named herein to give information regarding me. I hereby release said organizations or persons from any liability or damages whatsoever. I also authorize a background investigation to be carried out, to include a City sponsored lie detector test.

I understand that as a condition of employment, I will be required to pass an employment physical (including drug screen) and any future physical examination required by the City. I understand that such employment is subject to the policies of the City and the passing of any required written, physical agility, or skill examination. It is understood that the use of this form does not indicate that there are any position openings, and does not in any way obligate the City.

Candidates are subject to a background investigation.

Applicant Signature:  Date: 

 

An Equal Opportunity Employer 

 

The following is to be completed on a voluntary basis and will be separated from the application. Information will be used on a composite basis for statistical and compliance reporting purposes. Failure to complete will in no way affect consideration of your application.

Position applied for:

Age:  Race:  Sex: Marital Status:  Date: 

Email address: 
 

 

Please email your resume to jobs@collegeparkga.com

 



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