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2. Name*
3. Preferred Pronouns
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email Address*
14. Position Applying For*
16. How did you hear about the position?*
18. Are you legally eligible for employment in the United States *

    1. Yes
    2. No
20. Are you of legal age to work *

    1. Yes
    2. No
22. If hired, when are you available to start working?*
24. Have you been employed by the City of Williamsburg in the past?*

    1. Yes
    2. No
26. If Yes, please list dates and position held
28. 11. Do you have any relatives employed by the City of Williamsburg? *

    1. Yes
    2. No
30. Please list their position and relationship to you
32. List any certifications, experience, skills or qualifications you have which will be of benefit in the job for which you are applying. (Applicant should not list any information that Federal and/or State law precludes obtaining in the pre-employment stage.)*
34. Highest level of education*
36. Name, City, and State*
38. Course of Study
39. Last Year Completed*
41. Did You Graduate*
42. Diploma/Degree Obtained*
44. Have you ever been a member of the Armed Services?*
45. What branch did you enlist?
47. How many years did you serve?
49. What military skills do you possess that would be an asset to this position?
51. List below current and past employment beginning with the most recent
53. 1. Employer Name, City and State*
55. Position Title*
56. Type of Business*
58. Employment Dates*
60. Beginning Salary*
61. Ending Salary*
63. Name of Supervisor*
65. Brief Description of Job Duties*
67. Reason for Leaving*
68. May We Contact?*
70. 2. Employer Name, City and State*
72. Position Title*
73. Type of Business*
75. Employment Dates*
77. Beginning Salary*
78. Ending Salary*
80. Name of Supervisor*
82. Description of Job Duties*
84. Reason for Leaving*
85. May We Contact?*
87. List three (3) professional references, excluding former employers or relatives. *
    a. Name and phone number b. Circumstances of your acquaintance
89. Resume
91. I, the applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to eventual employment, I understand that any false or misleading information in my application or during my interview may result in employment being terminated. The City of Williamsburg is proud to be an equal opportunity employer. Thank you for your application. Employment applications are reviewed by the Human Resources Department and you will be contacted by phone if you are selected for further screening.
93. Electronic Signature*
94. Date*
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96. 1. Receive an email copy of this form.
97. Email address

    This field is not part of the form submission.

98. Submit

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