Form Center

Application for Seasonal Employment

Department Preference*
Last Name*
First Name*
Middle Name
Address*
City*
State*
Zip Code*
Home Phone
Business / Message Phone
Have you ever been employed anywhere under any other name(s)? *
1. Yes
1. No
If yes, please list name(s).
Specify Availability*
Available Start Date:*
Available Start Date:
Do you have any commitments to another employer that might affect your employment with the Township of North Huntingdon?
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Depending on the position sought, you may be required to provide a copy of your high school or college transcript / degree and/or professional registration.
Highest Grade Completed:
Name of High School
Location of High School
City
State
Zip Code
Check One:
1. High School Diploma
2. GED
Highest Degree / College Year Completed
College Degree Completed
College:
Name of College
Location of College
Dates Attended From Month/Year to Month/Year
Example: August 2000 - May 2005
Credit Hours Completed
Have You Graduated?
Type of Degree
List Major(s) / Minor(s)
Name of College
Location of College
Dates Attended From Month/Year to Month/Year
Example: August 2000 - May 2005
Credit Hours Completed
Have You Graduated?
Type of Degree
List Major(s) / Minor(s)
Name of Technical School Vocational / Trade School
Location of Technical School Vocational / Trade School
Dates Attended From Month/Year to Month/Year
Example: August 2000 - May 2005
Classroom / Credit Hours Completed
Have You Graduated?
Certificate / Degree
List Major(s) / Minor(s)
Name of Technical School Vocational / Trade School
Location of Technical School Vocational / Trade School
Dates Attended From Month/Year to Month/Year
Example: August 2000 - May 2005
Classroom / Credit Hours Completed
Have You Graduated?
Certificate / Degree
List Major(s) / Minor(s)
Technical skills or other training acquired:
List certificates, competency cards, or trade licenses you possess:
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You are required to sign and date your application. Falsification or omission of information will result in rejection of the application or dismissal if you are employed by the Township of North Huntingdon. Your signature also authorizes the Township of North Huntingdon to request employment and educational information/verification from your existing and previous employers and educational institutions. For all non-union employment, it is on an “at-will” basis, which means that you may resign your position at any time and the Township of North Huntingdon can terminate your employment at any time, with or without cause.
Date
Date
Signature*
I certify under penalty of perjury that this is a true and accurate statement.
1. I Agree
The Township of North Huntingdon is an equal opportunity employer and does not discriminate on the basis of race, religion, color, age, gender, national origin or disability.
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Please give complete name and address of all employers including military employment. Dates of employment, salary history, name and phone number of immediate supervisor must be included. Describe major duties performed and types of machines or equipment operated. A resume may be attached as a supplement; however, you must complete all information requested on the application.
Begin with your current or most recent employer and list all previous employers in chronological order. Also, account for all periods of unemployment. Omission of employment information may result in disqualification or dismissal. Attach additional sheets as necessary.
Do you have any objections to our contacting your present employer?*
1. Yes
1. No
If yes, explain
Employer
Dates of Employment
From Month/Year to Month/Year
Address
City
State
Zip Code
Phone Number
Job Title
Supervisor
Reason for Leaving
Description of Duties:
Starting Salary / Earnings
Ending Salary / Earnings
Employer
Dates of Employment
From Month/Year to Month/Year
Address
City
State
Zip Code
Phone Number
Job Title
Supervisor
Reason for Leaving
Description of Duties:
Starting Salary / Earnings
Ending Salary / Earnings
Employer
Dates of Employment
From Month/Year to Month/Year
Address
City
State
Zip Code
Phone Number
Job Title
Supervisor
Reason for Leaving
Description of Duties:
Starting Salary / Earnings
Ending Salary / Earnings

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