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Application for Employment - Town of Milton, VT

Application for Employment - Town of Milton, VT
To apply for a position with the Town of Milton, please complete this Application for Employment. The Town of Milton considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. Before you submit your application, make sure all sections of the application have been completed and that all information requested has been provided. At the sole discretion of the Town Manager, incomplete applications may not be considered.
Interview Process
Pressing "Submit" at the end of this application will automatically submit your application to: John Bartlett, Director of Administration, Facilities, & HR. Once a sufficient number of applications have been received they will be reviewed to determine who will be interviewed. This process may take several weeks. Should we contact you for an interview, please be aware that we follow a careful, team based approach to hiring. Our interview process usually consists of two interviews to give participants a real sense of our organization and what is required of them. Once interviews are completed, we (and you) want to make sure we have determined who will be the best candidate to join our Team. We will contact you if we are interested in your application. Please refrain from repeated phone calls to inquire as to the status of your application. Thank you for your interest in the Town of Milton.
Commercial Driver's License (CDL) Applicants
If the position you are applying for requires a CDL and you receive an offer of employment, the offer will be contingent on passing a Drug and Alcohol Test before beginning employment. Pursuant to Sec. 40.25 (j) of CFR 49 Part 40 - An employer covered by DOT drug and alcohol testing rules must ask a prospective employee who will be performing safety-sensitive functions for said employer whether or not he or she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by another employer to which the employee applied for, did not obtain, safety-sensitive transportation work covered by the DOT drug and alcohol testing rules during the past two years. If the employee admits that he or she had a positive test or a refusal to test, the employer must not use the employee to perform safety-sensitive functions until and unless the employee documents successful completion of the return-to-duty process (Refer to Sec. 40.25 (b) (5) and (e).
Position Applying For*
Submit a separate application for each position applying for.
How did you hear about us?*
Personal
Name*
First, Middle, Last
Have you been known by any other name (if applicable)?*
Address*
City*
State*
Zip Code*
Phone Number #1*
Phone Number #2
Email Address*
General Information
If you are under 18 years of age, can you provide required proof of your eligibility to work?*
Have you ever filed an application with us before?*
Approximate Date of Previous Application*
Have you ever been employed with us before?*
Approximate Date of Previous Employment*
Are you currently employed?*
May we contact your employer for references?*
Can you be lawfully employed in the USA?*
On what date are you available to work?*
On what date are you available to work?
Are you available to work:*
Check all that apply.
1. Full Time
2. Part Time
3. Shift Work
4. Temporary/Seasonal
5. Volunteer
Are you currently on layoff status, subject to recall?*
Can you travel if a job requires it?*
Do you require any type of special accommodations?*
What special accommodations do you require?*
Do you currently have a legal/valid license to operate a motor vehicle?*
Type of CDL License (if applicable):
Has your license ever been suspended?*
When and why was your license suspended?*
Can you comply with our Workplace Non-Smoking Policy?*
Do you, or have you used illegal drugs?*
Please explain your use of illegal drugs:*
Has action ever been taken against any professional license/certification that you have held?*
Please explain the action taken against your professional license/certification: *
Have you ever been disciplined in any way for alcohol and/or drug use on a job?*
Please explain:*
Have you ever been discharged or asked to resign from any employment?*
Please explain:*
Education
Name & Location of School
Course of Study
Number of Years Completed
Diploma/Degree Obtained
Name & Location of School
Course of Study
Number of Years Completed
Diploma/Degree Obtained
Name & Location of School
Course of Study
Number of Years Completed
Diploma/Degree Obtained
Are you a veteran of service in the United States Armed Forces?*
Were you honorably discharged?*
From what branch?*
Date of discharge:*
Date of discharge:
Job-related training received in the US Military:
Describe any specialized training, apprenticeships, licenses, or skills, which you believe should be considered in evaluating your qualifications for employment (it is not necessary to include information which indicates race, color, National origin or other protected status).
Specialized training, apprenticeship, and skills:
Professional, trade, business, or civil activities/offices held:
Additional Experience or Qualifications
Windows
Name of Program
Years Used
Level of Proficiency
Spreadsheet
Name of Program
Years Used
Level of Proficiency
Word Processing
Name of Program
Years Used
Level of Proficiency
Data Entry
Name of Program
Years Used
Level of Proficiency
Other
Name of Program
Years Used
Level of Proficiency
Other
Name of Program
Years Used
Level of Proficiency
Telephone
Number of Extensions
Typing
Words Per Minute
State any additional information you feel may be helpful to us in considering your application:
References
Please list three Personal References, and three Professional References.
Personal References
Name*
Address*
Phone Number*
Name*
Address*
Phone Number*
Name*
Address*
Phone Number*
Professional References
Name*
Address*
Phone Number*
Name*
Address*
Phone Number*
Name*
Address*
Phone Number*
Employment Experience
Start with your present or last job, please explain gaps in any employment. NOTE: Alternatively you may attach a resume, however be sure all requested information is included or your application may be denied. Specifically reason for leaving and may we contact employer.
Employer 1.
Employer Name and Address
Job Title
Employment Dates (from and to)
Supervisor
Telephone Number
Describe work performed:
May we contact this employer as a reference?
Reason for leaving:
Employer 2.
Employer Name and Address
Job Title
Employment Dates (from and to)
Supervisor
Telephone Number
Describe work performed:
May we contact this employer as a reference?
Reason for leaving:
Employer 3.
Employer Name and Address
Job Title
Employment Dates (from and to)
Supervisor
Telephone Number
Describe work performed:
May we contact this employer as a reference?
Reason for leaving:
Resume
Attach resume here (optional).
Applicants Statement
READ CAREFULLY BEFORE SIGNING. I hereby state the information I provided in this application and any supporting information i.e. my resume, is true and accurate to the best of my knowledge. I authorize verification of any or all of the information and any inquiries permissible by law to determine my suitability for employment. I hereby understand and acknowledge that, should the Town of Milton employ me I am entering an At Will employment relationship and may resign or be terminated at any time with or without cause or reason and with or without prior notice. It is further understood this “At Will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the Milton Town Manager. Subject to applicable provisions of the Town of Milton Administrative Code or a Town of Milton Collective Bargaining Agreement. In the event of employment, I understand that false or misleading information given in this application and/or interview(s) may result in discharge. I understand I am required to abide by all rules and regulations of the Town of Milton. I verify I have fully read this application to the best of my ability and have not left any required questions and/or sections blank.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature

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Application for Employment - Town of Milton, VT

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