We consider applicants for all poitions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual oprientation, or any other legally protected status.

Personal Information

Position(s) applied for*

How did you learn about us?*

Advertisement Employment Agency Friend

Relative Walk-In Other

If other please explain

Last Name*

First Name*

Middle Name

Address*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip Code*

Primary Phone Number*

Secondary Phone Number

Email Address

Social Security Number*

If you are under 18 years of age, can you provide required proof of your elgibility to work?

Yes

No

Have you ever filed an application with us before?*

Yes

No

If yes, give date

Have you ever been employed with us before?*

Yes

No

If yes, give date

Are you currently employed?*

Yes

No

May we contact your present employer?

Yes

No

Are you prevented from becoming employed in this country because of Visa or immigration status? *

Yes

No

On what date would you be available to work?*

Type of employment desired*

Full Time Part Time

Shift Work Temporary

Are you currently on "lay-off" status and subject to recall?*

Yes

No

Can you travel if a job requires it?*

Yes

No

Have you been convicted of a felony in the last 7 years?*

Yes

No

If yes, please explain

Education

High School Name and Address

Course of Study

Years Completed

Diploma/Degree

College Name and Address

Course of Study

Years Completed

Diploma/Degree

Graduate/Professional School Name and Address

Course of Study

Years Completed

Diploma/Degree

Other (please specify)

Course of Study

Years Completed

Diploma/Degree

Skills and Training

Indicate any foreign languages you can speak, read, or write.

Describe any specialized training, skills, apprenticeship, and extracurricular activities.

Describe any job-related training you received in the United States military

Employment Experience

Start with your present or last job. Include any job-related military experience and volunteer service. You may exclude organizations that include race, color, religion, gender, national origin, disabilities, or other protected status.

Employer

Address

Phone Number

Job Title

Supervisor

Dates Employed

Hourly Rate/Salary

Work Performed

Reason for Leaving

Employer

Address

Phone Number

Job Title

Supervisor

Dates Employed

Hourly Rate/Salary

Work Performed

Reason for Leaving

Employer

Address

Phone Number

Job Title

Supervisor

Dates Employed

Hourly Rate/Salary

Work Performed

Reason for Leaving

Additional Information

List professional, trade, business, or civic activities and offices held. (You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.)

Summarize special job-related skills and qualifications acquired from employment or other experience.

Explain other

State any additional information you feel may be helpful to us in considering your application.

DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED OF THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Are you capable of performing in a reasonable manner, with or withour reasonable accomodation, the activities involved in the job or occupation for which you have applied?

Yes

No

References

Name

Address

Phone Number

Name

Address

Phone Number

Name

Address

Phone Number

By clicking submit, your application will automatically be sent to the Town of Bethany Beach.