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Application may be obtained by any interested candidate by stopping in at the Town Offices located at 9793 Graphite Mountain Road, Hague, NY or by filling out application below. Applications and resumes should be submitted to the Personnel Committee, Town of Hague, PO Box 509, Hague, NY 12836 or by dropping it of at the Town of Hague Offices.

To apply, either fill out the form below or download the PDF to hand deliver / mail in:

Download PDF Form

 

Town of Hague: Employment Application form

*Required

Applicant Information

*Last Name:
*First Name:
*Middle Name:
*Street Address:
*City/Town, State, Zip Code:
*Phone Number:
Email Address:
*Position Applying For:
*When Are You Available to Start Working?:

Education

Please use the fields below to indicate all schooling.

*Type of School:
*Name of School & Location:
*Dates Attended:
*Major/Degree:
Type of School:
Name of School & Location:
Dates Attended:
Major/Degree:
Type of School:
Name of School & Location:
Dates Attended:
Major/Degree:
Type of School:
Name of School & Location:
Dates Attended:
Major/Degree:

Work Experience

Please list your last three jobs, beginning with the mos recent job held.

*Name of Employer:
*Street Address:
*Phone Number:
*Employment Start Date:
*Employment End Date:
*Your Last Job Title:
*Name of Last Supervisor:
*Reason for leaving (be specific):
Name of Employer:
Street Address:
City, State, Zip Code:
Phone Number:
Employment Start Date:
Employment End Date:
Your Last Job Title:
Name of Last Supervisor:
Reason for leaving (be specific):
Name of Employer:
City, State, Zip Code:
Street Address:
Phone Number:
Employment Start Date:
Employment End Date:
Your Last Job Title:
Name of Last Supervisor:
Reason for leaving (be specific):

Military Service

*Have You Ever Served In The Military? If yes, please fill out information below:


Date Entered:
Date Entered:
Military Branch:
Specialty:

References

*Name of Reference:
*Relationship To Applicant (i.e. supervisor, teacher, mentor, etc.):
*Reference's Address:
*Reference's Phone Number:
*Name of Reference:
*Relationship To Applicant (i.e. supervisor, teacher, mentor, etc.):
*Reference's Address:
*Reference's Phone Number:
*Name of Reference:
*Relationship To Applicant (i.e. supervisor, teacher, mentor, etc.):
*Reference's Address:
*Reference's Phone Number:

Drivers License Information

(If Required for Position)

License Number:
Licensing State:
*License Class:
*Expiration Date:
*Have You Ever Been Convicted of a Felony? (A Conviction Record Will Not Necessarily Disqualify You From Employment.):


*By Typing Your Full Name Below You Hereby Certify That The Information Contained In The Employment Application Form Above Is True And Complete To The Best Of Your Knowledge.:
*Please Type Your Full Name & The Date You Are Filling Out This Application Below To Serve as Your Signature.: