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Town of Colchester Employment Application

  1. Town of Colchester Employment Application

    Fields with an asterisk (*) are required

  2. 1. GENERAL INFORMATION

  3. If you are responding to an ad, where did you see it?

  4. 2. PERSONAL INFORMATION

  5. If you have worked for the Town of Colchester before, please provide dates of employment

  6. 2a. MILITARY SERVICE

  7. Are you a U.S. military veteran?

  8. Dates of Service:

  9. 2b. CITIZENSHIP / PERMISSION TO WORK IN U.S.

  10. Are you a U.S. Citizen? *

  11. If not, can you submit proof that you are authorized to work in the U.S. under federal law? *

  12. (If hired, you must furnish valid documentation that you are legally entitled to work in the U.S.)

  13. 3. EDUCATION

  14. Diplomas | Degrees (Check all that apply)*

  15. 4. EMPLOYMENT HISTORY - Begin with most recent first.

  16. 5. REFERENCES (List three professional or not related to you)

  17. 7. STATEMENT OF AFFIRMATION *

  18. By entering my name and date below I hereby affirm that the information I have provided on this application is true and accurate to the best of my knowledge. I authorize the verification of any or all of the information I have provided and any inquiries permissible by law to determine my suitability for employment. I understand that omissions or misrepresentations may be cause for rejection or, if I am hired, may be just cause for immediate dismissal.

  19. The Town of Colchester is an Equal Opportunity Employer. It is the policy of the Town to provide equal employment opportunity to all applicants and employees without regard to race, color, religion, gender or sexual orientation, age, or any other status protected by state or federal law.

  20. Leave This Blank:

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