General Information


YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo


YesNo

YesNo

Education

Graduate or Professional

YesNo



College or University

YesNo



Technical College

YesNo



High School

YesNo


Previous Experience






Special Skills & Qualifications


YesNo


References

Give name, address and telephone number of five (5) references who are not related to you and are not former employers






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 01



Employer 02



Employer 03



Employer 04



Employer 05



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Applicant's Statement

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.

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