Apply for Position

Job Application for: Robbinsville Township

Personal Information: (Fields Followed by (*) are Required)

Prefix:

First Name(*):

Middle Name:

Last Name(*):

Suffix:

Email Address(*):

Phone Number(*): (For Numbers outside the US include the Country Code)

Cell Number(*): (For Numbers outside the US include the Country Code)

Address1(*):

Address2:

Country(*):

Zip Code(*):

City(*):

State(*):

Education:

School 1:

School:

City:

State:

Degree:

# Years Attended:

School 2:

School:

City:

State:

Degree:

# Years Attended:

School 3:

School:

City:

State:

Degree:

# Years Attended:

Employment History:

Start with your present or last job.  Include any job related military service assignments and volunteer activities.  You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Work History 1:

Company(*):

City(*):

State(*):

Phone(*):

Position(*):

Job Duties(*):

Start Date(*):

End Date:

Supervisor(*):

Reason for Leaving(*):

Can We Contact:

No Yes

Work History 2:

Company:

City:

State:

Phone:

Position:

Job Duties:

Start Date:

End Date:

Supervisor:

Reason for Leaving:

Can We Contact:

No Yes

Work History 3:

Company:

City:

State:

Phone:

Position:

Job Duties:

Start Date:

End Date:

Supervisor:

Reason for Leaving:

Can We Contact:

No Yes

Voluntary Self Disclosure:

The Township of Robbinsville is an equal opportunity employer.  This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law.  Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization. 

Applicants and employees are treated during the employment process without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, marital status or veteran status, medical condition or disability, or any other legally protected status. 

The Township of Robbinsville complies with government regulations, including affirmative action responsibilities where they apply. To fulfill its obligations to the federal government with respect to Equal Employment Opportunity and Affirmative Action reporting, we ask that you answer these questions. 

Any information gathered is strictly confidential and will not subject you to coercion or intimidation relating to your employment status. Your answers will not be included when your application is submitted for consideration, and the information provided will not be considered in the employment process. 

Your compliance with this request is voluntary and selecting 'I Prefer Not to Indicate' will not result in any adverse action against your application.

Sex:

Ethnicity/Race:

Veteran Type:

Acknowledgement:

*PLEASE READ CAREFULLY BEFORE SIGNING* 

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery. 

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by the Township of Robbinsville that such employment with the Township of Robbinsville is at will, for no specified duration and may be terminated by either the Township of Robbinsville or myself at any time, with or without cause or notice. 

I understand that none of the documents, policies, procedures, actions, statements of the Township of Robbinsville or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of the Township of Robbinsville except the Township Administrator has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the Township Administrator. 

I understand that if offered a position with the Township of Robbinsville, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. 

I understand unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed. 

I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to the Township of Robbinsville and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information. 

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

Electronic Signature (*): I understand that by electronically signing this document by typing my full name below, that I acknowledge, agree, and attest that the information provided by me
is true and correct and I am freely intending to create and adopt as my own a legally binding electronic signature that carries the same legal effect and
enforceability as my handwritten signature.

Electronic Signature: