Florham Park
New Jersey
Departments
Government
Forms
Residents
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Borough Administrator
William F. Huyler
Work: 973-410-5312
whuyler@fpboro.net
Human Resources Officer/ Administrative Assistant
Cindy Phillips
Work: 973-410-5313
cphillips@fpboro.net
Borough Administration
Employment Application
Employment Contracts
General Information
Staff Directory
Phone Numbers
973-410-5313
Fax: 973-410-5597
Emergencies: Dial 911
Location
111 Ridgedale Avenue
Florham Park,
NJ
07932
Get Directions
Hours
Monday through Friday 9:00am to 4:30pm
Employment Application
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Employment Application
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W10=
*
First Name:
Middle Name:
*
Last Name:
*
Position Applied For:
*
Are You Currently Employed?
*
Street Address:
*
City/Town:
Job Title
Reason for leaving
Phone (Work):
Supervisor's name and phone number
*
Phone (Home/Cell):
Work performed/ responsibllltles:
Social Security Number:
Reason for leaving
Supervisor's name and phone number
*
Have you ever applied to the Borough of Florham Park before?
Final Salary
*
If yes, give the date
Reason for leaving
*
Date You Can Start
Job Title
*
Salary Desired
Supervisor name and phone number
Are You Available To Work
Full-Time
Park-Time
Shift Work
Temporary
Years Completed
Language
May We Contact You At Work?
Speak Some
*
May We Contact Your Current Employer?
Speak Fluently
*
Are you Currently on Layoff Status and Subject to Recall?
Special Skills & Experience:
State any special skills, experience, training, licenses, certifications or other facton that make yon especially qualified for the position for which yon are applying.
Do You Possess A Current Drivers License?
Phone Number:
Please List Any Endorsements
Years Known
If You Are Under Eighteen Years of Age, can you provide proff of eligibilty to work?
Applicant's Signature
*
Are you legally eligible to work in the United States of America?
Employment History:
This section must be completed even if you attach a resume. Lilt your last four employers, major assignments within the same employer. Begin with the most recent. Include any military service. Explain any gaps in employment in the space on this form marked comments.
Employer 1
Address:
Date started:
Date Left:
*
Work performed/ responsibllltles:
Starting Salary
Final Salary
May we contact for a reference:
Employer 2
Address:
Date started:
Date Left:
Job Title
Starting Salary
Final Salary
May we contact for a reference:
Employer 3
Address:
Date started:
Date Left:
Work performed/ responsibllltles:
Job Title
Starting Salary
Supervisor's name and phone number
May we contact for a reference:
Employer 4
Address:
Date started:
Date left:
Work performed/ responsibllltles:
Starting Salary
Final Salary
Reason for leaving
May we contact for a reference:
Comments:
Education:
Provide information on your formal schooling and education. Include elementary, secondary, and post-secondary education, if any. Include any formal vocational or professional education. For high school and post-secondary education, indicate any major or specialty, such as Academic, Business, or Trade.
High School
Years Completed
Graduated?
Major Fields
College
Graduated?
Major Fields
Other
Speak Fluently
Years Completed
Graduated?
Major Fields
Languages
List any foreign languages yon know and indicate your level of proficiency.
Speak Some
Read
Language
Read
Comments & Additional Information:
Is there any additional information about you we should consider?
References
Provide the names, addresses and phone number of three people whom we may contact as a reference. They should not be relatives or former supervisors.
Name & Address:
Phone Number:
Years Known
Name & Address:
Phone Number:
Years Known
Name & Address:
Understandings and Agreements:
As an applicant for a position with the Borough of Florham Park, I understand and agree that I must provide truthful and accurate information in this application. I understand that my application may be rejected if any information is not complete, true and accurate. If hired, I undentand that I may be separated from employment if the Borough of Florham Park later discovers that information on this form was incomplete, untrue, or inaccurate. I give the Borough of Florham Park the right to investigate the information I have provided, talk with former employers (except where I have indicated they may not be contacted). I give the Borough of Florham Park the right to secure additional job-related information about me. I release the Borough of Florham Park and Its representatives from all liability for seeking such information. I undentand that the Borough of Florham Park is an equalÂ-opportunity employer and does not discriminate in its hiring practices. I undentand that the Borough of Florham Park will make reasonable accommodations if required by the Americans with Disabilities Act. I understand that, if employed, I may resign at any time and that the Borough of Florham Park may terminate me at any time in accordance with its established polldes and procedures. No representatives of the Borough of Florham Park may make any assurances to the contrary. I undentand that any offer of employment may be subject to job-related medical, physical, drug, or psychological tests. I also understand that some positiom may involve complete background and criminal checks. For your appliclltlon to be considered, you must sign and date below.
Submit
Submit Bid
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