Please Read The Following Before Completing This Application
The information I have provided in this application is accurate, complete and true to the best of my knowledge. I hereby authorize the investigation of all statements contained in this application and hereby release my previous employers and all others from all liability as a result of providing or verifying information regarding me, my employment information, and/or my educational record. It is understood and agreed upon that any false statements, omissions or misrepresentations by me in this application will be sufficient cause for cancellation of this application and/or separation from this employer's service if I have been employed. I understand that this application is current for only 60 days. At the conclusion of this time, If I have not heard from the Borough of Hopatcong and still wish to be considered for employment, it will be necessary for me to fill out a new application. I understand that acceptance of this application does not imply that I will be hired. I understand that a physical examination may be required to determine my ability to perform the essential functions of the position after a job offer has been extended and prior to beginning work. I further understand that this examination may include urinalysis examination for the purpose of detecting illegal drugs and alcohol. I authorize the release of the results of such an examination to the Borough of Hopatcong and release all claims against it and those performing the examination. I further understand that if the physical examination determined that I am unable to perform the essential functions of the position, with reasonable accommodations, the Borough of Hopatcong will withdraw the offer of employment. I understand that if employed by the Borough of Hopatcong as a condition of employment, I will be required to submit to a drug and alcohol testing authorized by the governing body. I authorize the release of any such testing to the Borough of Hopatong and release all claims against it and those performing the tests. I understand that if employed by the Borough of Hopatcong, I will be subject to immediate termination for failing to submit to testing, or for refusing to permit release of results of any such tests to the Borough of Hopatcong. If employed by the Borough of Hopatcong, I authorize the release by the Borough of Hopatcong of any information concerning my employment, character and qualifications to potential employers and others, I hereby release The Borough of Hopatcong from any and all claims of liability that may arise from furnishing such information.
I HAVE READ AND UNDERSTOOD THE ABOVE STATEMENT IN ITS ENTIRETY, AND ACKNOWLEDGE THAT ANY MISREPRESENTATION OR OMISSION OF FACTS CALLED HEREIN WILL, AT THE BOROUGH OF HOPATCONG'S OPTION, RESULT IN THE CANCELLATION OF CONSIDERED EMPLOYMENT, OR DISMISSAL FROM THE BOROUGH OF HOPATCONG'S SERVICES IF I HAVE BEEN EMPLOYED
The Borough of Hotacong is an equal opporunity/affirmative action employer. All qualified applicants will be considered without regard to race, religion, color, marital status, sex, national origin, age or other legally protected classification. Any information or dates requested on the application are intended only for the purposes of determining abilities and skills required for proper job placement and for verification and continuity of employment. Applicants who require assistance in completing an application for employment are encouraged to notify the Borough of Hopatcong of their needs upon receipt of this form. Applicants must fill in all applicable blanks on this form. Attaching a resume is not considered completing this form.
Please provide the names of 3 personal references who are not related to you
Please list job related professional societies, associations or organizations to which you belong. You may exclude information which is indicative of race, religion, color, marital status, sex, national origin, disability, age, or other legally protected classification.
Complete this section only if you are applying for a position that requires driving for the Borough of Hopatcong