Assessing Aide Clerk 1 Court Attendant School Traffic Guard Telecommuncator

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Yes Yes, with accomodations No

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Yes No

Overtime *

Last Name *

Position Applying For *

Phone Number *

Part Time *

Morning

Evening

Are you able to perform the essential functions of the position with or without accomodations? *

Describe any accommodations you will need to adequately perform the essential functions of the position.

ZIP *

Temp From

Temp To

Alternate Phone Number

City *

Temporary *

1st Shift

State *

Preferred Name

2nd Shift

Are you legally eligible for employment in the U.S.? *

Availability

3rd Shift

Full Time *

Employment Eligibility

Email *

Afternoon

Jackson Township only accepts online applications. It is important that your application be complete and thorough. Please include all requested education, experience, attachments, and other information. Resumes and other supporting documents can be provided at the time of application; however, resumes will not be accepted in lieu of an application. Incomplete applications are subject to rejection. Notifications to applicants are sent electronically to the email address you provide.

Applicant Details

Address *

First Name *

Any offer of employment by Jackson Township will be conditional upon your providing documentation required by law as evidence of personal identity and your authorization to work in the United States.

Job Interest

Are you over 18 years of age? *

Education and Training Experience

List any special skills, experience, training, licenses, or certifications you have that are relevant to the position for which you are applying, or any additional information that we should consider.

Attach your resume below in Word or PDF file format *

Enter previous education and training experience below.

Yes No

Yes No

Yes No

List at least three people we may contact in reference to your application.   Business References only

Are any of your relatives employed by Jackson Twp? *

Are you currently employed?

Click "Add New Record" for each employment in descending order from Current (Last) Employer *

Employment History

References

If Yes, enter position(s)

Have you previously been employed by Jackson Twp? *

If Yes, list name, department and relationship

Yes No

Yes No

A B C

Do you have a valid Driver's License?

Do you have a valid CDL License?

Driver's/CDL License

For positions requiring a Driver's License and/or CDL License

Driver's License State

List any equipment operated or other qualifications

CDL Class

Driver License Number

CDL License Number

Male Female Decline to self-identify

Hispanic or Latino White Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Two or more races Decline to self-identify

I am a veteran I am not a veteran Decline to self-identify

IMPORTANT—To ALL Applicants: To enable us to meet government reporting regulations, Jackson Township requests you to complete this personal data form. Information will be used solely for government reporting purposes and will be detached and kept separate from your application. Any information you choose to provide will not be considered by Jackson Township for employment purposes and will be treated as confidential. Your voluntary cooperation is appreciated.

Veteran Status

Voluntary Information Only

Gender

Race/Ethnicity

Equal Employment Opportunity

Certification

Applicant Signature *

I hereby declare the information in the Application for Employment is true, correct and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application shall be considered cause for dismissal. I authorize Jackson Township to check my background and obtain an investigative consumer report containing information obtained through personal interviews with my neighbors, friends and acquaintances. This report, if obtained, may include information as to my character, general reputation, personal characteristics and mode of living/ I have the right to make a written request within a reasonable period to receive information about the nature of any investigation.

Jackson Township is an AT-WILL, EQUAL OPPORTUNITY EMPLOYER and does not discriminate on the basis, of race, sex, color, religion, national origin, age, disability or veteran status in employment opportunities and benefits.