Employment Form

Step 1 of 5

Employment Experience

Start with present or last job. Please attach your resume.

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Employer *

Address *

Address Line 1

City

State

Zip Code

Job Title

Supervisor

Reason for Leaving

Dates Employed

From | To

Hourly Rate / Salary

Starting | Final

Duties / Work Performed

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Employer

Address

Address Line 1

City

State

Zip Code

Job Title

Supervisor

Reason for Leaving

Dates Employed

From | To

Hourly Rate / Salary

Starting | Final

Duties / Work Performed

Layout (copy) (copy)

Employer

Address

Address Line 1

City

State

Zip Code

Job Title

Supervisor

Reason for Leaving

Dates Employed

From | To

Hourly Rate / Salary

Starting | Final

Duties / Work Performed

Layout (copy) (copy) (copy)

Employer

Address

Address Line 1

City

State

Zip Code

Job Title

Supervisor

Reason for Leaving

Dates Employed

From | To

Hourly Rate / Salary

Starting | Final

Duties / Work Performed

Do you need to input additional employment information?

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Lis professional, trade, business or civic activities and offices held that you consider relevant to your ability to perform this job.

You may exclude membership(s). which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

Save and Resume Later

Acknowledgements - Release of Information

I understand that, if hired, I may be fingerprinted. Any fingerprints taken will be used to conduct background reviews at the federal, state, and local levels. *

Initials

I authorize the investigation of all statements contained in this application and resume. I also authorize the Town of Miami to contact my present employer (unless otherwise noted on this application), past employers, and listed references. *

Initials

I understand that I may be driving a Town vehicle during my employment with the Town of Miami. The Town of Miami may initially and periodically review my driving record with the motor vehicle division (MVD) and other available sources. For this purpose, I will provide my authorization to allow the Town of Miami access to my driving record. I will therefore provide my driver’s license number, state of issue, and expiration date. *

Initials

I authorize any person, school, current employer (except as noted), past employer(s), and organizations named in this application and resume to provide the Town of Miami with relevant information and opinion that may be useful to the Town of Miami in making a hiring decision, and I release such persons and organizations from any legal liability in making such statements. *

Initials

I understand that all employees of the Town of Miami are governed by a code of conduct and such additional codes governing attire at the workplace as may be adopted by the Town. *

Initials

I understand that if the Town of Miami terminates my employment for criminal dishonesty or breach of trust, the authorities will be notified and I may be criminally prosecuted. *

Initials

I understand that, if hired, I may not hold other employment or engage in activities that would create a conflict of interest. *

Initials

I understand that as an employee of the Town of Miami, except for certain personal information, my personnel file is considered a public record. *

Initials

I understand that this application is not a contract of employment. *

Initials

I understand after a conditional offer of employment is made, all persons with a conditional offer will be subjected to drug testing. Applicants must report for testing as requested by the Town of Miami. An applicant who fails a drug test will have the employment offer withdrawn. *

Initials

I understand and agree that, if hired, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, and may, regardless of the date of payment of my wages or salary, BE TERMINATED AT ANY TIME. *

Initials

I hereby declare the information provided by me in this Application for Employment is true, correct, and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application may be considered as cause for dismissal from employment.

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Full Name *

Date *

Signature *

Resume Upload *

Click or drag a file to this area to upload.

Please upload your resume

Application for Employment

Personal Information

Education

Elementary School

High School

Undergraduate College

Graduate Professional

Other (Specify)

Indicate any foreign language(s) you can speak, read and/or write

Speak

Read

Write

Employment Experience

Additional Information

Professional References

Acknowledgements - Release of Information

I hereby declare the information provided by me in this Application for Employment is true, correct, and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application may be considered as cause for dismissal from employment.

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