Great History. Bright Future.
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*Position Applied For:
*Position Applied For:
*Type of Employment Desired:
*Type of Employment DesiredFull-TimePart-TimeSeasonal
*Referral SourceAdvertisementWalk-inJob LineEmployeeRelativeFriendEmployment AgencyOther
*Do you have any relatives working for Fairfield Township?
*Do you have any relatives working for Fairfield Township?:
If so, who?:
If so, who?:
*Have you worked for Fairfield Township before?
*Have you worked for Fairfield Township before?:
If so, when?:
If so, when?:
*Do you currently have a CDL?
*Do you currently have a CDL?:
*Are you a citizen of the United States?
*Are you a citizen of the United States?:
If no, are you authorized to work in the U.S?:
If no, are you authorized to work in the U.S?YesNo
Provide the following information from your past and current employers, assignments, or volunteer activities, starting with your most recent. Explain any gaps in employment in the comments section below.
Reason for Leaving:
Reason for Leaving
May we contact your supervisor for reference?:
May we contact your supervisor for reference?YesNo
Comments (including explanation of any gaps in employment):
Comments (including explanation of any gaps in employment)
Skills, Qualifications & Certifications:
Skills, Qualifications & Certifications
*Did You Graduate?:
*Did You Graduate?YesNo
Did You Graduate?:
Did You Graduate?YesNo
(Please list three professional references that are not related to you and are not previous supervisors. If not applicable, list three personal references not related to you.)
List professional, trade, business, or civic associations and any offices held. Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability, or any other similarly protected status.
List special accomplishments, publications, awards, etc. Exclude information which would reveal sex, race, religion, origin, age, color, disability, or any other similarly protected status.
List any other information that you would like us to consider. Exclude information which would reveal sex, race, religion, origin, age, color, disability, or any other similarly protected status.
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I understand that if I meet all requirements and characteristics as indicated in the job description, hiring may be contingent upon successful completion of drug and alcohol test, a credit report, and medical examination.
These costs will be borne by the Township.
I understand that if employed:
I may be required to work additional or fewer hours at other than my current assignment as the needs of the Township require.
My employment is subject to complying with those rules, regulations, and conditions as established by management.
I will be required to conform to all existing and future policies and procedure of Fairfield Township.
Fairfield Township reserves the right to change wages, hours, and working conditions, as deemed necessary.
I understand that if I am offered employment that I must provide appropriate documentation of my eligibility to work in the United States, in compliance with Immigration Reform and Control Act.
I also understand that if I fail to provide the documentation required by law prior to my first day of employment, I will not be allowed to begin work, and the offer of employment may be rescinded.
I understand that no employee is authorized to offer me employment, promise me salary increases, change of position, advancement, or any other advantages except those officially announced by the Fairfield Township Board of Trustees.
Equal Opportunity Statement
Fairfield Township provides equal opportunities (EEO) to all employees and applicants for employment.
Without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance
with applicable federal, state, and local laws.
Fairfield Township complies with applicable state and local laws governing non-discrimination employment in every location in which the Township has facilities.
This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Fairfield Township expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.
Improper interference with the ability of Fairfield Township employees to perform their expected job duties is absolutely not tolerated.