General Employment Application

Prefer a paper copy?

General Application for Employment mailto: Director of Human Resources
100 West 3rd Street, 3rd Floor
Williamsport, PA 17701

1
Applicant
2
General
3
Education
4
Employment
5
References
6
Compliance

1/6

Applicant

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

Alternate Phone

Email *

Position Applied For

Referral Source

Have you filed an application here before?

If so, when

Have you been employed here before?

If so, when

Do you have any relatives working here?

If so, list names

Are you on layoff and subject to recall?

Can you travel if the job requires it?

Are you willing to undergo a background check?

Are you a citizen of the United States?

Are you a veteran of the US Military Service?

Do you have a valid vehicle operator's license?

20%

Education Information

If you would prefer to upload a resume in rather than completing the Education section below, please do so now.

Elementary School

School Name

School City

Years Completed

High School

School Name

School City

Years Completed

Diploma or Degree

Course of Study

College

School Name

School City

Years Completed

Diploma or Degree

Course of Study

Graduate/Professional

School Name

School City

Years Completed

Diploma or Degree

Course of Study

Describe any specialized training, skills or activities you have which are pertinent to this position:

40%

Employment Information

If you would prefer to upload a resume in rather than completing the Employnent section below, please do so now.

Previous Employment

Please provide prior working experience.

Employer Name *

Supervisor Name

Job Title *

Address

City

State

Zip

Employer Phone

Start Date *

End Date *

Reason for Leaving *

Description of Work

Employer Name

Supervisor Name

Job Title

Address

City

State

Zip

Employer Phone

Start Date

End Date

Reason for Leaving

Description of Work

Employer Name

Supervisor Name

Job Title

Address

City

State

Zip

Employer Phone

Start Date

End Date

Reason for Leaving

Description of Work

Employer Name

Supervisor Name

Job Title

Address

City

State

Zip

Employer Phone

Start Date

End Date

Reason for Leaving

Description of Work

May we contact above employers?

Summarize any special skills or qualifications acquired from previous employment or experience, which would be applicable to this position:

60%

Reference Information

Please list at least two references (one personal and one professional) with contact information:

Contact First Name *

Contact Last Name *

Relationship *

Address *

City *

State *

Zip *

Phone *

Alternate Phone

Contact First Name

Contact Last Name

Relationship

Address

City

State

Zip

Phone

Alternate Phone

Contact First Name

Contact Last Name

Relationship

Address

City

State

Zip

Phone

Alternate Phone

80%

Document Upload

Please upload a cover letter and resume if you have not already done so in a previous step

Document Upload

I certify that the information provided herein is true and complete to the best of my knowledge.

I authorize investigation by the City of Williamsport & of all information and references contained in this Application for Employment as may be necessary in arriving at a decision concerning my employment. I hereby release the City of Williamsport, its agents and representatives, from any and all liability for such investigation and all previous employers, companies/corporations, organizations, and other persons for cooperating with such investigation. If my position is non-union, I acknowledge and agree that my employment shall be at-will. This means I may terminate my employment at any time, for any reason, and the City of Williamsport may terminate my employment at any time, for any reason whatsoever.

In the event of employment, I understand that any false or misleading information, statements, or representations given in my application or interview(s) will result in my discharge at any time. I also understand that I am required to abide by all policies, procedures, rules, and regulations of the City of Williamsport.

Applicant Signature:

100%

General Employment Application

General Employment Application

Prefer a paper copy?

Williamsport City Hall

Government

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