HR Upload Portal

Contact Information

Job Applying For: *

Name (First, Middle Initial, Last): *

E-mail address: *

Current Address (Street, Town, State, Zip): *

Your Phone: *

Hours/Time of Day you may be reached? *

Personal Information

Are you age 18 or older? *

Yes

No

Have you ever worked for the City of Bangor? *

Yes

No

What year and in which department/division did you work? *

Are you eligible to be lawfully employed in the United States? (Proof of citizenship or immigration status will be required upon employment) *

Yes

No

Do you have a driver's license? *

Yes

No

Please provide Class and Endorsements:

C

CDL Class A

CDL Class B

P

Other

Other licenses: *

List any family members presently employed by the City of Bangor (including spouse, parents, children, siblings, uncles, aunts, nephews, nieces, and any of the same related as in-laws, step-relations, or half-relations.)

Education

Name of High School, Location: *

Did you graduate high school? *

Yes

No

Did you graduate college? *

Yes

No

Not applicable

Degree(s) earned: *

Please list any additional certifications or education you have below:

References

Reference 1: (Name, Title, Relationship, Contact Information) *

Reference 2: (Name, Title, Relationship, Contact Information) *

Reference 3: (Name, Title, Relationship, Contact Information) *

Additional Information

How did you learn about this position?

Employment Agency

Walk-In

Friend/Relative

Other

Please indicate where: *

Disclosure Agreement

I hereby certify that the facts set forth above in my employment application are true and complete to the best of my knowledge. I authorize the City of Bangor to investigate all information set forth in my application, by contacting my prior employers and other references set forth above, and by any and all other means authorized and permitted by law. I understand that if I am hired, omissions or false or misleading statements in this application or interviews may be grounds for immediate termination of my employment.

Signature: (Please type your full name.) *

Date of Signature: *

Additional Comments: 0 / 750

City Of Bangor