[Lexington, MA] Employment Application

Application for Employment

Town of Lexington, Massachusetts

Thank you for your interest in employment with the Town of Lexington. The Town is an Equal Opportunity/Affirmative Action Employer.

The Town of Lexington has a strong commitment to Diversity, Equity, and Inclusion and we are actively seeking candidates who bring new voices and lived experiences to our organization.

We assure you that your opportunity for employment with the Town will be based only on your merit, without regard to race, religion, sex, age, national origin or disability.

PLEASE NOTE: The Town accepts applications for advertised positions only. A separate application must be submitted for each position for which you are applying. Please follow the requirements in each position description.

General Information

Position applying for: (please type the name of the position EXACTLY as it appears on the position description)

Referral source:

Where online?

What agency?

If other, where?

Date available for work:

Personal Information

First name:

Middle name:

Last name:

Preferred name:

Preferred pronouns:

Phone number:

Email:

Are you age 18 or older?

Yes

Have you worked for the Town of Lexington before?

Yes

If yes, what department?

Were you in the U.S. Armed Forces?

Yes

If yes, which branch?

Do you have a family member working for the Town?

Yes

If yes, what is their name?

If yes, what department do they work in?

Skills, Aptitudes, and other Qualifications

Do you have experience with the following software?

Word Processing (ex. Microsoft Word)

Spreadsheet (ex. Microsoft Excel)

Outlook Email Client

Other Applicable Software

Other applicable software:

Heavy equipment/machinery experience? (if applicable to job position)

Yes

If yes, please list any heavy equipment/machinery you've operated efficiently:

If yes, please list any certifications or licenses for operating heavy equipment/machinery:

References

Please provide up to three (3) PROFESSIONAL references. References should be former supervisors who can comment on your past job performance. You will be notified before references are contacted.

REFERENCE 1:

Name *

Job Title *

Company Name *

REFERENCE 1: Phone number:

REFERENCE 2:

Name

Job Title

Company Name

REFERENCE 2: Phone number:

REFERENCE 3:

Name

Job Title

Company Name

REFERENCE 3: Phone number:

Other Information

Are you able to provide documented proof of U.S. citizenship or valid work permit as required upon employment to work in the United States?

Yes

Please review the functions of the position as outlined in the job description. Are you able to perform all of the essential duties of the position for which you are applying?

Yes

Attachments

Resume

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Cover Letter

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Other

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Applicant's Certification

Signature

First Name

Last Name

Choose how to sign

Draw Type

I certify under penalty of perjury that the statements made in this application are true and correct. I authorize the Town of Lexington to investigate all statements made as part of this application and to secure any necessary information from all prior employers, references, academic institutions and law enforcement agencies. I release all of those persons, employers, references, academic institutions and law enforcement agencies from any and all liability arising from their giving and receiving information about my employment history, academic credentials, qualifications or criminal record. I understand that any false answers, or statements or misrepresentations by omission made by me as part of my application will be sufficient for rejection of my application or for my immediate dismissal should one be discovered after I am employed. I understand that federal law prohibits the employment of unauthorized aliens and that the Town has an obligation to make sure all employees, regardless of citizenship or national origin, are allowed to work in the United States. All persons hired must submit proof of citizenship, permanent resident status or employment authorization in the form of an Employment Authorization Document. I understand that failure to submit satisfactory proof of identity and employment authorization will result in a denial of employment. I understand that my employment with the Town, should I be hired, is a voluntary one. Nothing in this employment application, in the Town’s statements of personnel guidelines, or in my communication with any Town employee or official is intended to create an employment contract between the Town and me. I acknowledge that employment is not guaranteed for a definite period of time and that some positions regarded as part-time and/or temporary are paid for actual hours worked and are not entitled to benefits offered to full-time positions (except FICA and Workers’ Compensation). There is nothing to keep me from fulfilling the duties of the job for which I have applied.

The Civil Rights Act of 1964 prohibits discrimination in employment practice because of race, color, religion, sex or national origin. PL90-202 prohibits discrimination because of age.

Town of Lexington, MA

Application for Employment

Town of Lexington, Massachusetts

General Information

Personal Information

Employment History

Most Recent Employment

Previous Employment

Skills, Aptitudes, and other Qualifications

Education

References

Other Information

Attachments

Applicant's Certification