First Name * Last Name * Position applying for? * Other Type other position below * Phone Number * If you are under 18 years of age, can you furnish a work permit? * Yes No I am over 18 Why? Have you been employed with us before? * Yes No When? Date available for work? * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 How many hours a week do you desire to work? * Are you available to work? * Morning Afternoon Evenings What is your desired wage? (hourly) High School * Graduation year or Anticipated Year * College Graduation Year or Anticipated Year List awards, honors, positions held in school organizations, athletics or any other special recognition you received in school List any special abilities, interests, sports, or hobbies Other qualifications- Summarize special job-related skills and qualifications acquired from employment or other experience Employment Experience- Employer 1 Employer address Employer phone number Your job title Who was your supervisor? Type of work performed Dates employed- Start Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2019202020212022202320242025 Dates employed- End Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2019202020212022202320242025 Reason for leaving Employment Experience- Employer 2 Employer address Employer phone number Your job title Who was your supervisor? Type of work performed Dates employed- Start Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2019202020212022202320242025 Dates employed- End Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2019202020212022202320242025 Reason for leaving Reference 1- Include Name and Phone Number Reference 2- Include Name and Phone Number Reference 3- Include Name and Phone Number Resume Files must be less than 5 MB.Allowed file types: pdf doc docx. Cover Letter Files must be less than 5 MB.Allowed file types: pdf doc docx. Other Supporting Documents Files must be less than 5 MB.Allowed file types: gif jpg jpeg png. Signature * PLEASE READ CAREFULLY BEFORE SIGNING. By signing below I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the City of Carlisle to hire me. If I am hired, I understand that either City of Carlisle or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of City of Carlisle has the authority to make any assurance to the contrary. I attest with my signature below that I have given to City of Carlisle true and complete information on this application. No requested information has been concealed. I authorize City of Carlisle to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Date of Signature * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Leave this field blank
