Employment Application

TOWN OF ARCHER LODGE
EMPLOYMENT APPLICATION
An Equal Opportunity/Affirmative Action Employer

Applications & Resumes must be submitted online

Archer Lodge is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit
discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic
information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Fill out all sections COMPLETELY and to the best of your knowledge. Your application will be used as part of the examination process
and, therefore, should represent your best effort. Incomplete applications will not be considered.
Once submitted, application materials become the property of the Town. An application must be received by 6 pm on the
closing date posted to ensure consideration. If a position is posted as "may close without notice," APPLY IMMEDIATELY.

CURRENT INFORMATION

*Position Title

When will you be available for employment? i.e. immediately, 2 weeks, etc.

Are you seeking

Full-time Regular

Part-time Regular

Temp/prefer regular

Temporary only

*First Name

*Last Name

Phone

Address

City

State/Province

Postal Code

Email Address

*Are you 18 or older?

Yes

GENERAL INFORMATION

Check conditions that you are willing to accept.

Night work

Weekend work

Overtime

Rotating Shifts

On-Call

Have you ever been employed with the Town of Archer Lodge

Yes

If YES, what department and when:

Have you ever applied to the Town of Archer Lodge before?

Yes

If YES, indicate what position and when:

Are you willing to accept a salary within the advertised normal starting salary range?

Yes

Are you now or were you previously related in any way to a Town employee?

Yes

If YES, give name, relationship and department:

Are you able to perform all of the duties of the job you have applied for with or without a reasonable accommodation?

Yes

Did you receive any of your education or employment experience under another name?

Yes

If YES, please list other name:

EDUCATION

Indicate highest school year completed: (i.e. 8, 12, 16)

Name of High School

Town

State

Have you received a high school diploma or equivalent?

Yes

Education Beyond High School

College(s) University(ies) Name and Location

Attended from: Month/Year - Month/Year

Did you Graduate?

Yes

Credit Hours

Degree, Diploma, Certificate Earned or # of Years

Major/Minor

Graduate or Professional Schools Name and Locations

Attended from: Month/Year - Month/Year

Did you Graduate?

Yes

Credit Hours

Degree, Diploma, Certificate Earned or # of Years

Major/Minor

Technical Institutes, Internship, Other Name and Location

Attended From Month/Year - Month/Year

Did you Graduate?

Yes

Credit Hours

Degree, Diploma, Certificate Earned or # of Years

Major/Minor

KNOWLEDGE, SKILLS & ABILITIES

Please list any knowledge, skills, or abilities you have that you feel are applicable to the position for which you are applying. Include skills with equipment or machines you can operate. If you wish consideration for a secretarial/clerical position, indicate typing speed and word processing software packages known and/or used.

REGISTRATIONS, LICENSES, CERTIFICATIONS

List Fields of work for which you have been registered, licensed or certified:

Registration:

State:

No:

Exp. Date:

Registration:

State:

No:

Exp. Date

Other:

Please list your VALID DRIVER'S LICENSE NUMBER and the state in which it was issued. If you do not have a driver's license, please put "NONE" in the blank

Number:

State:

EMPLOYMENT Record your complete work history in the spaces below. BEGIN with your current or most recent position. "See attached resume" is NOT acceptable in the duties space.

CURRENT OR MOST RECENT EMPLOYMENT (or explain gap in employment)

Gap in employment

Job Title

Starting Salary

Last Salary

Date Employed

Date Separated

Employer or Company

Employer or Company Address

Name and Title of most current supervisor

Full-time for: Years and Months

Part-time for: Years and Months

Number of Employees supervised by you:

If you worked part-time, the number of hours worked per week

DUTIES IN ORDER OF IMPORTANCE:

Reason for Leaving or desiring a change

May we contact this employer?

Yes

NEXT MOST RECENT EMPLOYMENT (or explain gap in employment)

Gap in employment

Job Title

Starting Salary

Last Salary

Date Employed

Date Separated

Employer or Company

Employer or Company Address

Name and Title of most current supervisor

Full-Time for: Years and Months

Part Time for: Years and Months

Number of employees supervised by you

If you worked part-time, the number of hours worked per week

DUTIES IN ORDER OF IMPORTANCE:

REASON FOR LEAVING or desiring a change

May we contact this employer?

Yes

NEXT MOST RECENT EMPLOYMENT (or explain gap in employment)

Gap in employment

Job Title

Starting Salary

Last Salary

Date employed

Date separated

Employer or company

Employer or company address

Name and Title of most current supervisor

Full-time for: Years and Months

Part-time for: Years and Months

Number of employees supervised by you

If you worked part-time, the number of hours worked per week

Duties in order of Importance

Reason for leaving or desiring a change

May we contact this employer?

Yes

*Please upload your Resume and any other documents you wish to provide

Please upload your Resume and any other documents you wish to provide

Certification and Release (MUST BE SIGNED AND DATED BELOW) To the best of my knowledge and belief, the information given truly represents my background and experiences. I understand that if I have knowingly or negligently misrepresented, falsified or omitted any information during the application process, or have made any changes to the format or wording of this application form, I may be disqualified for employment consideration or dismissed from employment with the Town. • I authorize my employers as listed in the employment section to give any information regarding me or my employment, whether or not it is on their records. I hereby release them from any damage whatsoever for issuing same. • I understand and acknowledge that should I be employed by the Town of Archer Lodge, then I serve "at will". This means that I may be terminated at any time. I further understand that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically approved by the Town Manager

*Signature

*Date

Confirm

Cancel

Employment Application

TOWN OF ARCHER LODGE EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer

TOWN OF ARCHER LODGE
EMPLOYMENT APPLICATION
An Equal Opportunity/Affirmative Action Employer