Borough of Maywood Employment Application

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The document is a standard employment application form for the Borough of Maywood. It collects personal information, employment history, educational background, references, and military/first responder service details. The application also includes a disclaimer stating the Borough is an Equal Opportunity Employer and requires complete and accurate information for consideration.

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--- Document: Borough of Maywood Employment Application Document ---
 
 
BOROUGH OF MAYWOOD EMPLOYMENT 
APPLICATION 
 
PERSONAL INFORMATION 
 
 
FULL NAME: ___________________________________ DATE: __________________ 
                     First                              Middle                              Last        
 
ADDRESS: _____________________________________________________________ 
                  Street Address                                                                                                  Apt/Suite          
 
                  _____________________________________________________________ 
                  City                                                     State                                                      Zip Code          
 
E-MAIL: __________________________________ PHONE: _____________________ 
 
DATE AVAILABLE: ______________________  
 
POSITION APPLIED FOR: ____________________________________________________________ 
 
DEPARTMENT: _____________________________________________________________________ 
 
EMPLOYMENT DESIRED: ☐ FULL-TIME  ☐ PART-TIME  ☐ SEASONAL 
 
 
 
EMPLOYMENT ELIGIBILITY 
 
 
ARE YOU LEGALLY AUTHORIZED TO WORK IN THE U.S? ☐ YES  ☐ NO                                                                         
 
HAVE YOU EVER WORKED FOR THE BOROUGH? ☐ YES*  ☐ NO 
 
*IF YES, INDICATE THE START AND END DATES: ____________________________________ 
 
 
EDUCATION 
                                                                                                            
 
HIGH SCHOOL: _____________________ CITY / STATE: _____________________ 
 
GRADUATE? ☐ YES  ☐ NO DIPLOMA: _____________________ 
 
COLLEGE: _____________________ CITY / STATE: _____________________ 
 
GRADUATE? ☐ YES  ☐ NO DEGREE: _____________________ 
 
OTHER: _____________________ CITY / STATE: _____________________ 
 
                                                                                                    
 


 
 
PREVIOUS EMPLOYMENT                               
 
 
EMPLOYER 1: __________________________________________________________ 
                       Company / Individual 
 
E-MAIL: __________________________________ PHONE: _____________________ 
 
ADDRESS: ____________________________________________________________ 
                  Street Address                                                                                                  Apt/Suite          
 
                  ____________________________________________________________ 
                  City                                                     State                                                      Zip Code          
 
JOB TITLE: ______________ RESPONSIBILITIES: _____________________________ 
 
FROM: _____________________ TO: _____________________ 
 
REASON FOR LEAVING: _______________________________________________________ 
 
 
EMPLOYER 2: __________________________________________________________ 
                       Company / Individual 
 
E-MAIL: __________________________________ PHONE: _____________________ 
 
ADDRESS: ____________________________________________________________ 
                  Street Address                                                                                                  Apt/Suite          
 
                  ____________________________________________________________ 
                  City                                                     State                                                      Zip Code          
 
JOB TITLE: ______________ RESPONSIBILITIES: _____________________________ 
 
FROM: _____________________ TO: _____________________ 
 
REASON FOR LEAVING: _______________________________________________________ 
 
 
EMPLOYER 3: __________________________________________________________ 
                       Company / Individual 
 
E-MAIL: __________________________________ PHONE: _____________________ 
 
ADDRESS: ____________________________________________________________ 
                  Street Address                                                                                                  Apt/Suite          
 
                  ____________________________________________________________ 
                  City                                                     State                                                      Zip Code          
 
JOB TITLE: ______________ RESPONSIBILITIES: _____________________________ 
 
FROM: _____________________ TO: _____________________ 
 
REASON FOR LEAVING: _______________________________________________________ 


 
 
 
 
REFERENCES 
(PROFESSIONAL ONLY)                        
 
 
FULL NAME: _______________________________ RELATIONSHIP: ______________ 
                     First                                               Last        
 
COMPANY: ________________________________ TITLE: ______________ 
 
 
E-MAIL: __________________________________ PHONE: _____________________ 
 
 
FULL NAME: _______________________________ RELATIONSHIP: ______________ 
                     First                                               Last        
 
COMPANY: ________________________________ TITLE: ______________ 
 
 
E-MAIL: __________________________________ PHONE: _____________________ 
 
 
FULL NAME: _______________________________ RELATIONSHIP: ______________ 
                     First                                               Last        
 
COMPANY: ________________________________ TITLE: ______________ 
 
 
E-MAIL: __________________________________ PHONE: _____________________ 
 
 
MILITARY/FIRST RESPONDER SERVICE                               
 
 
ARE YOU A VETERAN?  ☐ YES  ☐ NO  
 
BRANCH: _____________________ RANK AT DISCHARGE: _____________________ 
 
FROM: _____________________ TO: _____________________  
 
ARE YOU A FIRST RESPONDER?  ☐ YES  ☐ NO 
 
DEPARTMENT: _____________________________________ 
 
FROM: _____________________ TO: _____________________  
 
 
 
 
 
 
 


 
 
BACKGROUND CHECK CONSENT                               
 
 
IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? ☐ YES  ☐ NO 
 
 
DISCLAIMER                          
 
 
Applicant understands that this is an Equal Opportunity Employer and committed to excellence through 
diversity. In order to ensure this application is acceptable, please print or type with the application being 
fully completed for it to be considered.  
 
Please complete each section EVEN IF you have attached your resume. 
 
I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this 
application leads to my eventual employment, I understand that any false or misleading information in my 
application or interview may result in my employment being terminated. 
 
 
SIGNATURE _________________________________ DATE _____________________ 
 
PRINT NAME _________________________________