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Application for Employment

  1. Applicant Information

  2. Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

    Proof of citizenship or immigration status will be required upon employment.

  3. Have you ever worked for the Borough?

  4. Have you previously filed an application here?

  5. Are you currently on "lay-off" status and subject to recall?

  6. Are you available to work:

  7. Do any of your friends or relatives, other than spouse, work here?

  8. Education

  9. Did you graduate?

  10. Did you graduate?

  11. Did you graduate?

  12. References

    Please list three professional references.

  13. Previous Employment (Begin with the Most Recent)

  14. Are you currently employed?

  15. May we contact your previous supervisor for a reference?

  16. Are you currently employed?

  17. May we contact your previous supervisor for a reference?

  18. Are you currently employed?

  19. May we contact your previous supervisor for a reference?

  20. Military Service

  21. State any special skills, experience, training, licenses, certifications, foreign language proficiency or other factors that make you especially qualified for the position for which you are applying.

  22. Applicant's Statement

  23. Understandings and Agreements

    As an applicant for a position with the Borough of Hawthorne, I understand and agree that I must provide truthful and accurate information in this application. I understand that my application may be rejected if any information is not complete, true and accurate. If hired, I understand that I may be separated from employment if the Borough of Hawthorne later discovers that information on this form was incomplete, untrue, or inaccurate.
    I give the Borough of Hawthorne the right to investigate the information I have provided, talk with former employers (except where I have indicated they may not be contacted). I give the Borough of Hawthorne the right to secure additional job-related information about me. I release the Borough of Hawthorne and its representatives from all liability for seeking such information. I understand that the Borough of Hawthorne is an equal-opportunity employer and does not discriminate in its hiring practices.
    I understand that the Borough will make reasonable accommodations as required by the Americans with Disabilities Act. I understand that, if employed, I may resign at any time and that the Borough of Hawthorne may make any assurances to the contrary.
    I understand that any offer of employment may be subject to job-related driver's license abstract check as well as medical, physical, drug, or psychological tests. I also understand that some positions may involve complete background and criminal checks. I understand that in accordance with P.L. 70 2011 Chapter 70, "every person holding an office, employment or position" in the State of New Jersey shall have their "principal residence" in the State of New Jersey." Employees hired after September 1, 2011 shall establish residency within one year or shall be deemed unqualified for holding the office, employment or position.

  24. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  26. This field is not part of the form submission.