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Time Manager

Location:
Dunn, North Carolina, 28334, United States
Posted:
May 12, 2019

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Resume:

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POST OFFICE BOX **** • DUNN, NORTH CAROLINA ***35

P.O. Box 1065, Dunn, NC 28335

910-***-****

www.dunn-nc.org

APPLICATION FOR EMPLOYMENT

INSTRUCTIONS: It is important that you fill out all sections of this application completely and to the best of your ability. Your application will be used as part of the examination process and therefore, should represent your best effort. Resumes will not be accepted in lieu of city application. Faxed applications will not be accepted. Applications are kept on file for two years. Current Information (Please type or print clearly in ink) Position Applied for Date When will you be available for employment? Employment desired: (check all that apply) Are you 18 years of age or older? Yes No Full-time Part-time Temporary Summer NAME Last First Middle

ADDRESS Street & Number or P.O. Box City State Zip

HOME PHONE CELL PHONE DO YOU HAVE A VALID DRIVER LICENSE? Yes No CLASS STATE General Information (Attach additional sheet if needed) Have you ever been employed with the City of Dunn? Yes No If yes, what department & when? Are you related by blood or marriage to any City employee? Yes No If yes, give name, relationship and department Are you a U.S. citizen? If no, you must be legally authorized to work in the U.S. and must provide work authorization Yes No documents before you begin work.

Have you ever been convicted of a felony? Yes No

If yes, please explain, giving details and dates of conviction(s). (Use additional sheets if needed). NOTE: The existence of a criminal record does not automatically eliminate you from employment consideration; the offense and how recently you were convicted will be evaluated in relation to the job for which you are applying. Office use only

Date Rec’d:

App.Log#:

2

Education

Circle highest level completed.

1 2 3 4 5 6 7 8 9 10 11 12 GED College 1 2 3 4 Graduate School 1 2 3 4 School

Location of School

Graduate

Credit Hours

Degree

or

Diploma

Major/Minor

High School or GED

Yes No

College or University

Yes No

Graduate or Professional School

Yes No

Vocational/ Technical School or Other

Yes No

Military Service

Are you a veteran? Yes No Branch of service: Skills and Certifications

Please list any skills, abilities, special certifications, licenses, special training you have that you feel are applicable to the position for which you are applying. Include skills with equipment or machines you operate. List computer skills separately as indicated below. Please list computer knowledge and specific software skills. 3

Employment History

Record your complete work history in the spaces below (resume may be attached, however this section must be completed). Begin with your current or most recent employer first. Use continuation sheets if necessary. May we contact your present employer? Yes No

Employer: (Present or most recent) Address: Phone #: Job Title:

Name and title of supervisor: No. supervised by you: Date Employed:

Starting Salary: Ending Salary:

Date Separated:

Duties:

Full time for: Years Months

Part-time for: Years Months

If part-time, number of hrs.

worked per week:

Reason for leaving:

Employer: Address: Phone #:

Job Title:

Name and title of supervisor: No. supervised by you: Date Employed:

Starting Salary: Ending Salary:

Date Separated:

Duties:

Full time for: Years Months

Part-time for: Years Months

If part-time, number of hrs.

worked per week:

Reason for leaving:

Employer: Address: Phone #:

Job Title:

Name and title of supervisor: No. supervised by you: Date Employed:

Starting Salary: Ending Salary:

Date Separated:

Duties:

Full time for: Years Months

Part-time for: Years Months

If part-time, number of hrs.

worked per week:

Reason for leaving:

4

Employer: Address: Phone #:

Job Title: Name and title of supervisor: No. supervised by you: Date Employed:

Starting Salary: Ending Salary:

Date Separated:

Duties:

Full time for: Years Months

Part-time for: Years Months

If part-time, number of hrs.

worked per week:

Reason for leaving:

References

Please do not list family relatives. We recommend listing persons such as coworkers, teachers, etc., who have knowledge of your qualifications for the position for which you are applying.

Name: Address: Telephone #: Name: Address: Telephone #: Name: Address: Telephone #: I certify that all of the information provided by me on this application is accurate and complete. I understand that if I have knowingly misrepresented or falsified any of the application information, I may be disqualified for employment consideration or dismissed from employment with the City. I authorize my current and former employers to release any information regarding my employment along with any information regarding me, whether or not it is on their records. I hereby release them from any damage whatsoever for issuing same. I authorize educational institutions which I attended to reveal my scholastic rating, as well as degrees or certificates earned, to the City of Dunn. Notwithstanding any provision of State or Federal law, I expressly waive any right I have to review information the City receives from any employer or educational institution under a promise of confidentiality. I permit the City of Dunn to conduct a criminal and motor vehicle records investigation of my background. I understand that upon offer of employment from the City of Dunn, I will be tested for drug and alcohol use. I consent to the testing and understand that the results of such testing could preclude my employment with the City. I understand and acknowledge that should the City of Dunn employ me, then I serve “at will”. This means that I may be terminated at any time with or without cause. I further understand that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically approved by the City Manager. Signature Date Employer:

Address: Phone #:

Job Title:

Name and title of supervisor: No. supervised by you: Date Employed:

Starting Salary: Ending Salary:

Date Separated:

Duties:

Full time for: Years Months

Part-time for: Years Months

If part-time, number of hrs.

worked per week:

Reason for leaving:

Revised 10/20/2011



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