Application for Employment

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

THIS APPLICATION WILL BE PROCESSED ONLY IF COMPLETED IN FULL. If you need assistance in filling out this application or for any phase of the employment process, please notify the Executive Director or Department Head for your specific needs.

Email *

Name *

Address *

Phone number *

Job You Are Applying For *

When will you be able to begin work? *

Please check all appropriate boxes related to your availability. *

Full-time

Part-time

Days

Evenings

Nights

Weekends

Other:

Required

Are you legally eligible for employment in the United States? *

Yes

Are you at least 18 years of age? *

Yes

Conviction of a crime will not necessarily disqualify you from consideration for employment. A crime includes the conviction of a Class A, Class B, Class C, Class D, or Class E crime in Maine, or a misdemeanor or felony in another state. Have you ever been convicted of a crime or pled guilty, NOLO, or no contest? *

Yes

Is there a criminal action pending against you? *

Yes

Have you ever been or are you now the subject of any adverse action(s) by any duly authorized sanctioning or disciplinary agency for either conduct-based or performance-based actions? *

Yes

Have you ever been dismissed from employment, forced to resign or resigned to avoid being dismissed? *

Yes

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms