Scott Township Employment Application

"*" indicates required fields

Name*
MM slash DD slash YYYY
Address*
What employment position are you applying for?*
MM slash DD slash YYYY
Please enter the date you are available to start.
Are you a citizen of the United States?*
If not, are you authorized to work in the United States?
Have you ever been convicted of a crime?*
Do you have a valid PA driver's license?*
Do you currently hold a valid CDL?

Education:

Did you graduate high school?*
Have you graduated college?*

References:

First Reference Name:*
Reference's Address:*
Second Reference Name:*
Reference's Address:*
Third Reference Name:*
Reference's Address:*

Previous Employment Information:

Employer 1:
Company:
Phone Number:
Supervisor:
 
Job Details:
Job Title:
Starting Salary:
Ending Salary:
 
Duration of Employment:
From:
To:
Reason for Leaving:
 
May we contact your previous supervisor for a reference?
Employer 2:
Company:
Phone Number:
Supervisor:
 
Job Details:
Job Title:
Starting Salary:
Ending Salary:
 
Duration of Employment:
From:
To:
Reason for Leaving:
 
May we contact your previous supervisor for a reference?
Employer 3:
Company:
Phone Number:
Supervisor:
 
Job Details:
Job Title:
Starting Salary:
Ending Salary:
 
Duration of Employment:
From:
To:
Reason for Leaving:
 
May we contact your previous supervisor for a reference?

Military Service:

Commitment:
Branch:
From:
To:
 
Accepted file types: pdf, Max. file size: 64 MB.