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Personal Information

Position Applying for*
Name*
Address*
Telephone*
Email
Date you can being work
Date you can being work
Are you available all shifts
1. Yes
2. No
Have you ever worked for the City of Methuen*
1. Yes
2. No
If Yes
Long range goals
Achievements / Special Skills
Professional Qualifications
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Education

List from Present to Past
School / Institution
Major or Area of Study
Years completed
Add Another Education
1. Yes
1. No
School / Institution
Major or Area of Study
Years completed
Add Another Education
1. Yes
1. No
School / Institution
Major or Area of Study
Years completed
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MA Professional Trade, Certifications, Driver's License

License Name
License Number
Date Issued
Date Issued
Expiration Date
Expiration Date
Add Another License
1. Yes
1. No
License Name
License Number
Date Issued
Date Issued
Expiration Date
Expiration Date
Add Another License
1. Yes
1. No
License Name
License Number
Date Issued
Date Issued
Expiration Date
Expiration Date
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Employment History

Employer Name*
Address
From - To
From - To Start Date
—
From - To End Date
Phone Number
Reason for leaving
Position Held / Duties
Add another Employer
1. Yes
1. No
Employer Name
Address
From - To
From - To Start Date
—
From - To End Date
Phone Number
Reason for leaving
Position Held / Duties
Add another Employer
1. Yes
1. No
Employer Name
Address
From - To
From - To Start Date
—
From - To End Date
Phone Number
Reason for leaving
Position Held / Duties
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References

Name
Phone Number
Relationship
Years known
Name
Phone Number
Relationship
Years known
Name
Phone Number
Relationship
Years known
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Upload Optional Documents

Upload your Resume
Upload your Cover Letter
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Submit

Applications are accepted for any current posted position. It is the applicant’s responsibility to re-submit his/her application for future consideration in a separate position.
I hereby state that the information given by me in this application is true in all respects. I understand that if I am employed and the information is found to be false in any respect, I will be subject to dismissal without notice at any time. I hereby authorize my former employers to release information pertaining to my record, my work habits, and my work performance while in their employ. I hereby authorize the individuals listed as personal references to release information that may pertain to my work habits or work performances.
I understand that is unlawful in MA to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
I understand and agree that, if I am offered employment by the City of Methuen, my employment will be for no definite term and that either I or the City of Methuen will have the right to terminate the employment relationship at any time, with or without cause and with or without notice. I also understand this status can only be altered by a written contract of employment that is specific as to all material terms and is signed by me, my union representative (if applicable) and the Mayor.
Statements made in this application are made under the pains and penalties or perjury.

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