Employment Application – The City of Kingston

Personal Information

Name

First Middle Last

Present Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Permanent Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Are you 18 or older?

Yes
No

Are you prevented from lawfully becoming employed in the country because of visa or immigration status?

Yes
No

Employment Desired

Position

Date You Can Start

Salary Desired

Are you employed now?

If so may we inquire of your present employer?

Are you related to any city employee or city council member?

Yes
No

If so, state name

Referred by:

Qualifications

Education

Education	Name and location of school	# Years attended	Did you graduate? Yes or No	Subjects studied

Education / Name and location of school / # Years attended / Did you graduate? Yes or No / Subjects studied

Subjects of special study or research work

Special Skills

Activities (civil, athletic, volunteer, etc)

U.S military or naval service	Rank	Present membership in National Guard or Reserves

Former Employers

Date From	Date To	Name and Address	Salary	Position	Reason for leaving

Which of these jobs did you like best?

What did you like most about this job?

References

Name	Address	Business	Years Acquainted	Phone Number

In case of emergency notify:

Name	Address	Phone

Consent

I certify that all the information on this application is true and complete. Falsifying information on this application can result in immediate termination.

File

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