Form Center

Step One

Application for Employment - Village of South Orange
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Personal Information

First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Cell Phone Number*
Home Phone Number
Email Address*
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Proof of Age, Education, Military Status and Citizenship may be required upon employment offer

List position/s you are applying for*
Indicate any related experience or certifications you may have
Upload file, if applicable
Indicate preferred work schedule*
1. Full-time
2. Part-time
3. Seasonal
Are you 18 years or older?*
The minimum age for employment is 14. If under 18, you will be required to submit working papers, if offered employment.
If you are not 18, please select age.
The minimum age for employment is 14. If under 18, you will be required to submit working papers, if offered employment.
Do you possess a driver's license that is valid in NJ?
Answer this question only if it is a requirement indicated on the job announcement or specifications.
Do you possess a Commercial Driver's License?
Answer this question only if it is a requirement indicated on the job announcement or specifications.
Are you either a U.S. citizen or an alien authorized to work in the U.S?*
Have you ever been convicted of a crime or other offense which has not been expunged by the court, either in NJ or any other jurisdiction? (A conviction will not necessarily preclude you from employment.)*
Review the instructions at top before answering this question.
If you have been convicted of a crime, please provide details here.
Are you a veteran?*
If you are a veteran, have you established Civil Service Veteran's Preference with the NJ Civil Service Commission between April 1, 1980 and March 1, 2001 or with the NJ Dept. of Military and Veteran after March 1, 2001?
Are you now or have you ever been a member of any Public Employee's Retirement System?*
If you answered 'yes' to the previous question, indicate system name and membership number in next box.
If you answered 'yes' to the previous question, please indicate name and membership number here.
Have you ever worked or been educated under a different name?*
If you answered 'yes' to the previous question, specify other name/s here.
Are you currently in a special or regular reemployment list, or any list resulting from an examination administered by the NJ Civil Service Commission?*
If you answered 'yes' to the previous question, indicate Title and Symbols here.
Select the number indicating the highest grade of school you have completed.*
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Step Four

Educational/Skill History
In fields below, please list all vocational, technical, correspondence schools, colleges and universities you have attended. (You may upload additional sheets in the space provided, if necessary.)
High School Last Attended*
Did you Graduate?*
College or University (if applicable)
Did you Graduate?
Major Subject
Degree Received
Graduate School (if applicable)
Did you Graduate?
Major Subject
Degree Received
Other Formal Training (Including Military)
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Step Five

Are you related to any prior or current Village employee/s?*
If you answered 'yes' to the previous question, provide name here.
Are you engaged in any business activity or employment wich you plan to continue if employed by the Village of South Orange?*
If you answered 'yes' to the previous question, please explain here.
Please add any additional information which will help in placing you where you are best qualified. Include such items as honors, hobbies, publications, volunteer work, public speaking and writing experience, membership in professional or scientific societies.
Upload files, if necessary.
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References

List three people unrelated to you whom we may contact for information concerning your qualifications.
First anad Last Name
Phone Number
Occupation
First and Last Name
Phone Number
Occupation
First and Last Name
Phone Number
Occupation
Please indicate a telephone number where you may be contacted AND the best time to reach you for an interview.
READ, SIGN AND DATE BELOW
I UNDERSTAND
that if I plan to engage in other business or employment while working for the Village of South Orange in any of its Departments or Agencies, prior approval will be necessary before accepting employment.
I AUTHORIZE
my former employers to release any information they may have concerning my employment record and I release the State of New Jersey and all previous employers listed above from all liability whatsoever that may issue from securing this information. I further authorize representatives of this agency to verify any and all information contained in this application, including education, and to review any and all criminal history, military and disciplinary records of any source.
I CERTIFY
that the information on this application is complete and accurate, to the best of my knowledge. I understand that any misleading or incorrect information may render this application void and be just cause for immediate termination if employed.
Applicant Signature*
Date*
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Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.

I understand that the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.

Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Recreation Dept. Generic Job Application (not lifeguard or camp)

Steps

Step One

Personal Information

Proof of Age, Education, Military Status and Citizenship may be required upon employment offer

Step Four

Step Five

References

Disclaimer & Signature