City Seal
City of Waterville, Maine
ADMINISTRATION

APPLICATION FOR EMPLOYMENT

Blue Compressed City Seal      City of Waterville, Maine
      Application for Employment

 
Date of this application:
Position title or type of job applying for:
Interested in:
Name of Applicant: (Last Name, First Name, Middle Name or Initial)
Applicant's Mailing Address: (Number and Street or P.O. Box)
Applicant's City, State, Zip Code
Applicant's Home Telephone Number:
Alternate Telephone Number:(optional)
EDUCATION: Are you a high school graduate?
Name and location (City and State) of last high school attended:(optional)
Name and location (City and State) of college or university attended:(optional)
Dates Attended:(optional)
Credits Completed:(optional)
Type of Degree(s):(optional)
Major field of study:(optional)
Other schools of training (e.g. trade, vocational, armed forces of business):(optional)
Please give the name and location (City and State) of each school or source of training, dates attended, subjects studied, certificates received (if any) and any other pertinent information:(optional)
Do you have any experience or skills applicable to the position for which you are applying?
If yes, please list skills/experience:(optional)
PRESENT/LAST EMPLOYMENT HISTORY: May inquiry be made of your present or last employer regarding your qualifications and record of employment?
Dates of Employment (month and year): (From/To)
Title of position or type of job held:
Name of employer, company, firm or organization:
Employer's address:
Employer's telephone number:
Description of work: (please describe in as much detail as possible)
Additional job duties/description:(optional)
PRIOR EMPLOYER 1: Dates of Employment (month and year): (From/To)(optional)
Title of position or type of job held:(optional)
Name of employer, company, firm or organization:(optional)
Employer's address:(optional)
Employer's telephone number:(optional)
Description of work: (please describe in as much detail as possible)(optional)
Additional job duties/description:(optional)
PRIOR EMPLOYER 2: Dates of Employment (month and year): (From/To)(optional)
Title of position or type of job held:(optional)
Name and address of employer, firm or organization:(optional)
Description of work: (optional)
PRIOR EMPLOYER 3: Dates of Employment (month and year): (From/To)(optional)
Title of position or type of job held:(optional)
Name and address of employer, firm or organization:(optional)
Description of work: (optional)
PRIOR EMPLOYER 4: Dates of Employment (month and year): (From/To)(optional)
Title of position or type of job held:(optional)
Name and address of employer, firm or organization:(optional)
Description of work: (optional)
REFERENCES: Reference 1 - List name of individual NOT related to you who has definite knowledge of your qualifications and fitness for the position for which you are applying. DO NOT repeat names of employers listed in the employment history section above.
Provide an Address of Reference 1:
Business or Ocupation of Reference 1:
Provide a Telephone Number for Reference 1:
Reference 2 - List name of individual NOT related to you who has definite knowledge of your qualifications and fitness for the position for which you are applying. DO NOT repeat names of employers listed in the employment history section above.
Provide an Address of Reference 2:
Business or Ocupation of Reference 2:
Provide a Telephone Number for Reference 2:
Reference 3 - List name of individual NOT related to you who has definite knowledge of your qualifications and fitness for the position for which you are applying. DO NOT repeat names of employers listed in the employment history section above.
Provide an Address of Reference 3:
Business or Ocupation of Reference 3:
Provide a Telephone Number for Reference 3:
SIGNATURE/CERTIFICATION: By typing your full name below you are signing this application and verifying the information within it is true, complete and correect to the best of your knowledge and belief, and are made in good faith:
Date Signed:
Please enter the security code below: