Form Center

Step One

Are you at least 18 years of age?
1. Yes
2. No
If no, you must provide required proof of your eligibility to work.
Are you currently employed?
1. Yes
2. No
Have you ever filed an application with us before?
1. Yes
2. No
If yes, when?
Have you ever been employed with us before?
1. Yes
2. No
If yes, when?
May we contact your present employer about your qualifications and work history?
1. Yes
2. No
May we contact your previous employer about your qualifications and work history?
1. Yes
2. No
Are you a male between the ages of 18 and 26?
1. Yes
2. No
If yes, have you registered for military service? Proof is required.
Are you a citizen of the United States or are you legally authorized to work in the United States?
1. Yes
2. No
Proof of citizenship or immigration status will be required prior to employment.
Do you have any relative(s) employed by this municipality?
1. Yes
2. No
If yes, please provide relative's name and department and indicate your relationship to that person.
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Have you been convicted on an offense other than a minor traffic violation?
1. Yes
2. No
A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.
If yes, please explain.
Have you ever used a name other than the one shown on this application?
1. Yes
2. No
If yes, please indicate name(s).
When would you be available to start work?
When would you be available to start work?
Where did you see or hear about this job opportunity?
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Police applicants: Please list previous employers and dates of employment if you have ever held a sworn position.
List any apprenticeships or vocational training.
List any professional registrations, licenses, or certifications.
List any other training, classes, or workshops you have attended that are related to the position applied for.
State any additional information you feel may be helpful to us in considering your application.
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Summarize special job-related skills and qualifications acquired from employment or other experience.
Have you ever had any job related to training in the United States military?
1. Yes
2. No
If yes, please describe.
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Employment Experience
Start with your present or last position. Include any military service assignments and self-employment. Also, account for any gaps in employment. You may attach additional sheets as necessary. Resumes are accepted.
Employer
Phone
Job Title
Supervisor
Start & End Date
Start & End Date Start Date
—
Start & End Date End Date
Starting Salary
Ending Salary
Address
City
State
Zip Code
Work Performed
Reason for Leaving
Employer
Phone
Job Title
Supervisor
Start & End Date
Start & End Date Start Date
—
Start & End Date End Date
Starting Salary
Ending Salary
Address
City
State
Zip Code
Work Performed
Reason for Leaving
Employer
Phone
Job Title
Supervisor
Start & End Date
Start & End Date Start Date
—
Start & End Date End Date
Starting Salary
Ending Salary
Address
City
State
Zip Code
Work Performed
Reason for Leaving
Employer
Phone
Job Title
Supervisor
Start & End Date
Start & End Date Start Date
—
Start & End Date End Date
Starting Salary
Ending Salary
Address
City
State
Zip Code
Work Performed
Reason for Leaving
Employer
Phone
Job Title
Supervisor
Start & End Date
Start & End Date Start Date
—
Start & End Date End Date
Starting Salary
Ending Salary
Address
City
State
Zip Code
Work Performed
Reason for Leaving
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Upload a Resume
(Optional)
Upload a Cover Letter
(Optional)
Upload Other Supporting Documentation
(Optional) Any other additional information you wish to include. i.e. Certification Documentation
Upload Other Supporting Documentation
(Optional) Any other additional information you wish to include. i.e. Certification Documentation
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application and release of pertinent information to the City of Archdale as may be necessary in arriving at an employment decision. In the event of my employment, I understand that false or misleading information, given in my application or interview(s), may result in discharge. I understand, also that I am required to abide by all rules and regulations of the City of Archdale. I also understand that employment with the City of Archdale is contingent upon the successful completion of a background check, a drug test and a driver's record check. Successful completion of the drug test means a negative test was produced.
Your Name
Date
Date

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