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Applicant Name *
Have you ever applied with the City?
Social Security #
Have you served in the US Armed Forces?
Can you type?
Last Name *
Will you now or in the future require sponsorship for employment visa status? (e.g. H-1B visa status)? *
319 East State Street
Trenton, NJ 08608
www.trentonnj.org
If applicable, state the specific person who referred you.
Application for Employment
If yes, enter the Branch where served.
Phone # *
The City of Trenton is An Equal Opportunity Employer
List three professional references who can attest to your ability to perform the job you are applying for. For each reference enter a Name, Relation to you (e.g. Supervisor at ABC Company), Phone Number and Email address, if available, where they can be reached.
Personal Data
Do you have a valid CDL?
City *
State *
Describe other clerical skills/experience including filing, answering phones, bookkeeping, equipment repair, etc.
Name
Describe any training received.
Sign Here *
Please provide a Resume and Cover Letter in Word Document or PDF Format if you have one.
ZIP
Work History
Education History
Preferred Name
Emergency Contact
Certification
Use the grid below to list all education and training experience.
If yes, explain your specific knowledge with equipment and program softwares
Veteran Status
Resume and Cover Letter
Have you worked/do you work for the City? *
We do not discriminate on the basis of race, religion, national origin, color, sex, age, veteran status, or handicap. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.
Do you have computer skills/experience?
More info
Race
Hispanic or Latino – a person of Cuban, Mexican, Puerto Rican, South or Central America, or other Spanish culture, regardless of race.

White– a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American – a person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander – a person having origins in any of the peoples of Hawaii, Guam, or the Pacific Islands.

Asian – a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native – a person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community recognition.

Two or More Races – all persons who identify with more than one of the above five races.

General
If yes, list title and dates below.
If yes, may we contact your current Employer?
Full Name (First and Last) *
If you know the Department please select it here.
Military Service
Other Training and Special Skills
Words per Minute
Phone Number
Address
Certain laws and regulations regarding equal employment opportunity, and/or affirmative action direct us to compile, maintain, and report certain information on employees. In order to comply with these laws and regulations, we are requesting your cooperation in completing this voluntary EEO Self-Identification. The information on this EEO Self-Identification is being requested and will be used solely for record keeping and reporting purposes. Submission of this information by you is voluntary. Please be assured that you will not be subjected to any adverse treatment if you do not provide the information requested. In the event that you do provide the information requested, the information and this form will be processed and maintained separately from your employment application forms. For the purpose of this form, please indicate the group in which you appear to belong, identify with, or are regarded in the community as belonging. However, only count yourself in one ethnic/minority group.
City of
Trenton
Relationship
If yes, list the month, year and location where applied.
Do you have a Driver's License? *
Gender
How did you hear of this job opportunity?
Are you a citizen or legally authorized to work in the United States? *
Date of Birth *
List any Equipment you can operate
Are you currently employed? *
References
Phone Number *
ZIP *
Voluntary Questions (EEO)
Email *
Relation *
RESIDENCY
The City of Trenton is committed to filling City jobs with qualified City residents. By Ordinance (94-53), persons hired to fill City jobs must have a permanent residence within the City of Trenton. I understand that if I accept an offer of employment with the City, I will be required to complete a Certificate of Residency, legally confirming my bona fide City residence.

PRE-EMPLOYMENT DRUG SCREENING ACKNOWLEDGEMENT
I understand that my employment with the City of Trenton is conditioned upon my successful completing a test (negative result) for the presence of illegal drugs and/or the presence of alcohol as prescribed by the City. Any offer of employment with the City of Trenton that has been made prior to the pre-employment drug screening will be withdrawn if I test positive for illegal drugs and/or alcohol.

INFORMATION RELEASE AUTHORIZATION
I do hereby authorize representatives of the City of Trenton, State of NJ, to obtain any and all information of a private and confidential nature concerning arrest records, criminal history summaries, warrant information, driver license information and any other information relative to my background, that has been recorded or otherwise; and do hereby release the City of Trenton, and all other individuals connected therewith, from all liability, for any damage whatsoever incurred in furnishing such information.

AFFIDAVIT
I certify that the information given by me on this Application is true and correct without consequential omissions of any kind whatsoever. If I am appointed on the basis of any incorrect statements or misleading informaton that I have supplied above, I will be subject to removal.

THIS APPLICATION IS NOT AN OFFER OF EMPLOYMENT
18+ years old? *
Residency at the time of application. *
State
Do you have a personal vehicle?
Name *
Languages fluent in (other than English)
City
Address *
Specify the Job or Type of Work you are applying for
Use the grid below to list all previous or current employers.
Other Skills (including volunteer experience) relevant to the position for which you are applying.
Race
Email