Employment Application

EMPLOYMENT APPLICATION
Township of Franklin
475 Demott Lane
Somerset, NJ 08873
Date:_________
NAME Social Security No. Telephone No.

ADDRESS

 

CITY STATE ZIP CODE
Circle Highest Grade Completed
Grade School 1 2 3 4 5 6 7 8
High School
1 2 3 4
College
1 2 3 4
Highest Degree Granted
List any vocational school, colleges, and graduate school which you have attended: 
Name Date Attended Graduation Major Area of Study Degree or License
  From:
To:
YES NO    
  From:
To:
YES NO    
  From:
To:
YES NO    
1. How long have you resided in the city? 2. Machine operated and/or special skills: Typing : YES NO
Shorthand:YES NO

3. Have you ever been convicted of an offense? YES NO If yes, give details in the box at the right. A conviction will not necessarily preclude your employment.

 

 

4. Military Experience

 

Branch of Service Dates in Service
5. Valid Drivers License? YES NO
Valid Auto Insurance? YES NO
Valid CLD
YES NO
A B
6. Has License ever been suspended? YES NO If yes, explain in detail. Attached Addendum 
7. Professional Membership: 
     
8. Have you ever been employed by Franklin Township?
YES NO
  
If yes, when
From________To_________
 

In what capacity?

 
Under what name?
  
9. How did you learn about this position?
     

Work experience (list most recent first) Attach additional sheets if necessary

10. Do you have any references that are currently employed by Franklin Township? If so, give Name and Position.
 
Name and address of previous employer:


Title of your position Describe your duties in detail
Date employed in this position
From________ To_______
Reason for leaving
___Full Time
___Part Time
Number of hours per week ______