Form Center

Step One

Which position are you applying for?*
Type of employment desired*
1. Full Time
1. Part Time
1. Internship
Salary desired*
Hours of work (per week) desired*
Apart from absences for religious observations, will you accept employment requiring occasional night work or weekend work?*
1. Yes
1. No
Apart from absences for religious observations, will you accept employment requiring regular night work or weekend work?*
1. Yes
1. No
Have you ever been fired from a job?*
1. Yes
1. No
If yes, please write a detailed explanation
How did you hear about the position?*
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Check the following skills, experiences, etc.:
1. Microsoft Office (Word, Excel, PowerPoint)
2. Office Equipment
1. Foreign Languages
2. Computer Skills
List field of work for which you have been licensed, registered or certified:
License:
State:
Number:
Exp. Date:
License:
State:
Number:
Exp. Date:
License:
State:
Number:
Exp. Date
List machinery or equipment you operate which may be used in the type employment you are seeking (machine tools, cleaning equipment, construction equipment, vehicles, etc.):
Indicate any information regarding your training, qualifications, and skills not covered elsewhere on this application:
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I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment. I understand that the Town of Stanley may investigate the information I have furnished. I authorize any person, firm, or organization to supply any information about me concerning any past employment, military duties, convictions, or personal information to the Town of Stanley. I further release any such person, firm, or organization from any responsibility in disclosing such information, including from all liability for any damage that may result from furnishing such information to the Town.

I understand that the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.

Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*

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