Sea Girt Borough 321 Baltimore Blvd., Sea Girt, NJ 08750
THE BOROUGH OF SEA GIRT IS AN EQUAL OPPORTUNITY EMPLOYER
THE BOROUGH OF SEA GIRT CONSIDERS APPLICANTS FOR ALL POSITIONS
WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN,
AGE, MARITAL OR VETERAN STATUS, PHYSICAL OR MENTAL DISABILITY,
SEXUAL ORIENTATION OR ANY OTHER LEGALLY PROTECTED STATUS.

The Borough of Sea Girt will not discriminate against any employee or job applicant with respect to any terms, conditions, or privileges of employment on the basis of a known disability or perceived disability. The Borough will make reasonable accommodations to known physical or mental limitations of all employees and applicants with disabilities, provided that the individual is otherwise qualified to safely perform the essential functions of the job and also provided that the accommodation does not impose undue hardship on the Borough. Generally, it’s the applicant’s responsibility to inform the Borough that he or she needs a reasonable accommodation. The Borough may ask the applicant for documentation to support the request for a reasonable accommodation. Applicants who need a reasonable accommodation before the interview process begins should inform the Borough Administrator.

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Email *
Name *
First and last name
Email *
Phone number *
Address *
Position Applying For: *
Have you ever applied to the Borough of Sea Girt before? *
If you answered YES to the previous question, please detail when:
Are you related to a CURRENT Borough of Sea Girt governing body member? *
If you answered YES to the previous question, please identify the governing body member and state the relationship:
Do you have any family members or relatives who are employed by the Borough of Sea Girt? *
If you answered YES to the previous question, please identify these individuals and your relationship:
What date are you available to start work? *
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/
DD
/
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What is your desired salary? *
Are you available to work: (Check all that apply) *
Required
Are you 18 years or older? *
Are you authorized to work in the United States of America? (Pursuant to Federal Law, proof of US Citizenship or immigration status will be required if you are offered employment with the Borough.) *
Have you ever worked or have been educated under a different name? If yes, please list. *
EMPLOYMENT HISTORY
Please detail your employment history, listing your most recent employer first: COPY AND PASTE THE FOLLOWING INTO EACH ANSWER:

Employer Name:
Address:
Job Title:
Date Started/Date Left:
Job Duties:
Reason for Leaving:
Supervisors Name:
Supervisors Contact Number:
May we contact for a reference:

Employer #1:
Employer #2:
Employer #3
Employer #4
Please use this space to explain any gaps in employment, with the exception of those related injury/illness/disability. If none apply, please indicate "N/A." *
EDUCATION
Provide information on your formal schooling and education. Include secondary and postsecondary education, if any. Include any formal vocational or professional education. For high
school and post-secondary education, indicate any major or specialty, such as Academic,
Business, or Trade.

Copy and Paste the following into your answer:

School/Institution:
# Years Completed:
Graduated (Yes or No):
Major/Certification Field:
#1
#2
#3
List any scholastic honors, honorary societies, fellowship, scholarships, or other academic awards: If none apply, please indicate "N/A." *
Special skills and experience: State any special skills, experience, training, licenses, certifications or other factors that make you especially qualified for the position for which you are applying: If none apply, please indicate "N/A." *
Comments and additional information: Is there any additional information about you we should consider? If none apply, please indicate "N/A." *
REFERENCES
Provide the names, addresses and phone numbers of three people you have known for at least
one year that we may contact as a reference. Do NOT list relatives.

COPY and PASTE the following into your answer:

Name:
Address:
Phone Number:
Relationship:
Years Known:
Reference #1 *
Reference #2 *
Reference #3 *
DRIVERS LICENSE
Complete this section if driving is an essential job function: Otherwise this section is optional.
Do you have a valid driver's license?
Clear selection
State of Issuance and License Number: Please indicate your drivers license number below.
COMMERCIAL DRIVERS LICENSE: Have you tested positive or refused to test on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years?
Clear selection
By typing your NAME and DATE below you indicate your authorization for the Borough to perform a record check of your driver's license upon an offer of employment by the Borough:
CONFLICT OF INTEREST:
All applicants must complete this section
Do you currently have any outside employment or personal activities that may have a potential or actual conflict with your employment or prospective employment with the Borough of Sea Girt? *
If you answered “yes” to the previous questions, please disclose the nature of your outside employment or personal activity that may have a potential or actual conflict with your employment or prospective employment with the Borough:
If you answered “Not Sure” to the previous question, please explain:
NOTE
An applicant’s failure to fully disclose outside employment or personal activity that is a
potential or actual conflict with employment or prospective employment by the Borough of Sea
Girt will result in rejection of the employment application or, if employed, the termination of
employment.
APPLICANT'S STATEMENT
I certify that the answers provided in this application are true and complete to the best of my
knowledge. I authorize the Borough of Sea Girt to investigate all statements contained in
this application as may be necessary in arriving at an employment decision. I release the
Borough (including all of its employees and agents) and all former employers and others
from any liability that might arise from the disclosure of information. I understand that any
offer of employment may be subject to job-related medical, physical, drug, or psychological
tests. I also understand that some positions may involve complete background and criminal
history checks as well as a review of the applicant’s driving history record. Any inquiry into
my criminal history will be in accordance with the Opportunity to Compete Act.

I understand and acknowledge that, unless otherwise provided by law or an applicable
collective bargaining agreement, any employment relationship with the Borough of Sea Girt
is “at will,” which means that I may resign at any time and the Borough of Sea Girt may
discharge me at any time, with or without cause.

I understand that the discovery of any misrepresentation or omission of fact in this
application will result in the rejection of my employment application, or in the event of
employment, provide cause for termination of my employment.
Applicant's Electronic Signature: by providing your NAME and DATE below you acknowledge and understand the APPLICANT'S STATEMENT above: *
A copy of your responses will be emailed to the address you provided.
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