Job Application

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Job Application

Personal Information

Numbers Only
Present Address
Present Address
City
State/Province
Zip/Postal
Are you authorized to work in the United States?
Are you 18 or older?
Do you have a valid drivers license?
Do you hold a CDL?

Education

Type of School
Did you Graduate?

Employment

Employer Type
Address
Address
City
State/Province
Zip/Postal
$
$

Additional Details

Personal References

Address
Address
City
State/Province
Zip/Postal
Country
*We assure you that your opportunity for employment with this company will be based solely on your merit and on no other consideration.*
Are you able to perform the tasks of the job for which you are being considered, with or without a reasonable accommodation?

“I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I affirm that I have a genuine intent and no other purposes in applying for a job with the Village of Bay City.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.”

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