apply for an open position

An Equal Opportunity Employer
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, marital status, sexual orientation or any other legally protected status.

Instructions: Please print or type all information. The application must be filled out accurately and completely. Do not leave an item blank. If an item does not apply, write N/A (not applicable). If you need additional space to answer a question fully, you may use full sheets of blank paper. On each additional page, include your name. You may attach copies of documents or certificates which support your application. All materials submitted become the
property of the City and will not be returned. All statements made on the application are subject to verification. A separate application must be completed for each position applied for.

Apply For An Open Position

Date
MM slash DD slash YYYY
Position you are applying for with Key Colony Beach
IDENTIFICATION / CONTACT INFORMATION
First Middle Last
Home Address
Street Address Address Line 2 City State ZIP Code
How long at this address?
Telephone - Home
Email*
Other
Driver’s License Number
State
State
Expiration Date
MM slash DD slash YYYY
Are you related to a City employee or is any member of your household employed by the city? (Yes/No)
- Yes
- No
If yes, provide employee’s name
Since your 18th birthday, have you been CONVICTED of any violation of the law, other than minor traffic offenses, or pleaded NOLO CONTRENDERE to criminal charges, even if adjudication was withheld? (Yes/No)
- Yes
- No
If yes, provide:
Nature of Offense
Name and Location of Court
Disposition of Case
NOTE: A conviction does not automatically mean you cannot be employed by the City. The nature of the offense, how long ago it occurred, etc. are given consideration.
Colleges and/or Universities Attended
Please include name of institution, city and state, major/minor, degree received and dates.
List Special Training – Include Business, Trade, Vocational, Military Schools, etc.
Please include name of institution, city and state, course/subject, certification received and dates.
EMPLOYMENT RECORD
List all jobs held in the lasts TEN years and any other jobs relevant to the position for which you are applying. Exclude any organization which indicates race, color, religion, gender, national origin, handicap, or other protected status. Start with your PRESENT or MOST RECENT position and work back.
May we contact your present employer regarding your record of employment? (Yes/No)
- Yes
- No
Employer's Name (Present/Most Recent Job)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Hourly Rate
Supervisor's Name and Title
Supervisor's Phone
Supervisor's Email
Employed From (Month/Year)
Employed To (Month/Year)
Reason for Leaving
Specific Duties
Employer's Name (Previous Job)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Hourly Rate
Supervisor's Name and Title
Supervisor's Phone
Supervisor's Email
Employed From (Month/Year)
Employed To (Month/Year)
Reason for Leaving
Specific Duties
Employer's Name (Previous Job)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Hourly Rate
Supervisor's Name and Title
Supervisor's Phone
Supervisor's Email
Employed From (Month/Year)
Employed To (Month/Year)
Reason for Leaving
Specific Duties
VOLUNTEER WORK
Please describe your volunteer work during the past ten years and include dates and description of activity/volunteer work.
Please describe your volunteer work during the past ten years and include dates and description of activity/volunteer work.
PERIODS OF UNEMPLOYMENT
Please explain any periods of unemployment in the past 10 years.
SPECIFIC SKILLS
List below the total number of years of skillfully operating/using:.
General Computer Skills
Calculator/Adding Machine
Multi-line Telephone
Fax
Fax
Photocopy Machine
Scanning Equipment
Audio Equipment (Tape Recorders, etc)
Microsoft Word
Microsoft Excel
Microsoft Excel
Microsoft Access
Quickbooks
Email
Internet Searches
List Membership in Professional / Job-Related Organizations
VETERAN PREFERENCE
If you are claiming Veteran’s Preference, you must provide a copy of a DD214 at time of application.
REFERENCES
Provide two references who are not related to you and are not previous employers.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
May We Contact This Person?
- Yes
- No
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
May We Contact This Person?
- Yes
- No
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apply for an open position

Apply For An Open Position

IDENTIFICATION / CONTACT INFORMATION

EMPLOYMENT RECORD

VOLUNTEER WORK

PERIODS OF UNEMPLOYMENT

SPECIFIC SKILLS

VETERAN PREFERENCE

REFERENCES

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