Employment Application – Towship of Ocean Sewerage Authority

Applicant Information

Position applied for

Date

Prefix

First Name *

Middle Name

Last Name *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone (Home) *

Social Security No.

Phone (Work)

Email Address *

Education

Do you possess a high school diploma or GED equivalent?YesNo

Do you possess any college degrees?YesNo

Please provide details about your formal education, including secondary (high school) and post-secondary (college or university) education. Be sure to include any vocational, technical, or professional training you have completed.

Special Skills & Experience

Please list any special skills, experience, training, licenses, certifications, or other qualifications that make you particularly suited for the position you are applying for.

Work Experience

Company Name

Employment Period (Start)

Employment Period (End)

Position

Salary

Job Responsibilities

Reason for leaving

References: Provide the names and phone numbers of three people whom we may contact as a reference. These references should not be relatives.

First Name *

Last Name *

Phone

Relation & Years Known

First Name *

Last Name *

Phone

Relation & Years Known

First Name *

Last Name *

Phone

Relation & Years Known

Comments & Additional Information

Is there any additional information about you we should consider?

Understanding and AgreementsAs an applicant for a position with the Township of Ocean Sewerage Authority, I affirm that all information provided in this application is complete, true, and accurate to the best of my knowledge. I understand that any false, misleading, or incomplete information may result in the rejection of my application or termination of employment if discovered after hiring. I authorize the Township of Ocean Sewerage Authority to verify the information provided, including contacting former employers unless otherwise noted. I also permit the Township of Ocean Sewerage Authority to obtain additional job-related information about me and release the Township of Ocean Sewerage Authority and its representatives from any liability related to such inquiries. I understand that the Township of Ocean Sewerage Authority is an equal opportunity employer and does not discriminate in its hiring practices. I acknowledge that reasonable accommodations will be provided as required under the Americans with Disabilities Act. I understand that employment is at-will, meaning I may resign at any time, and the Township of Ocean Sewerage Authority may terminate my employment at any time in accordance with its policies and procedures. I also understand that employment may be contingent upon passing job-related medical, physical, psychological, or drug testing, as well as background and criminal history checks, where applicable.

Conditions of EmploymentPlease note that all offers of employment are contingent upon the successful completion of a mandatory criminal background check and drug screening. A pre-employment physical examination may also be required. In accordance with our personnel policy, all applicants must sign a consent form for drug testing. If test results are positive and not explained by the legal use of prescription or over-the-counter medication, the applicant will be deemed ineligible for employment—unless they can provide valid documentation supporting the lawful use of the identified substance. To be considered for employment, your consent below acknowledges your understanding of these conditions.

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