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General Employment Application

  1. General Information
  2. Are you legally authorized to work in the U.S.?*
  3. Are you under the age of 18? *
  4. Have you ever been convicted of a felony?*
  5. Do you now, or will you in the future, require immigration sponsorship for work authorization (eg H-1B)?*
  6. Education Information
  7. Background Information
  8. During the past seven (7) years, have you ever been discharged, suspended or asked to resign from any position?*
  9. For the purpose of verifying information, have you ever worked or attended school under a different name? *
  10. Professional References
    List 2 professional references (that we may contact)
  11. Work History
    List all employment experience for the past seven (7) years, starting with the most recent or present employer. (You may include, as part of your work history, any verified work performed on a volunteer basis. Resumes may not be substituted in lieu of completing the following employment information)
  12. Employer 1
  13. May we contact?
  14. Employer 2
  15. May we contact?
  16. Employer 3
  17. May we contact?
  18. Employer 4
  19. May we contact?
  20. Disclosure Terms & Agreements
    (Please read the following statements fully and Initial after each)
  21. Note: An offer of employment is conditioned upon complying with the City of Cabot's requirements including, but not limited to, signing a consent to conduct a background investigation.
  22. Leave This Blank:

  23. This field is not part of the form submission.