Grove City Borough | Grove City, Pa

Job Application

Date:
Name:
Address:
Social Security #
Telephone:
Cell Phone:
Email:
Are you over the age of 16?

Job Interest:

Position Desired:

Date available:

Are you a citizen of the United States?

Do you have a valid motor vehicle operator’s license?

Operator license number

State

Do you have a Commercial Drivers License?

Are you a veteran?

If yes then fill in:

Branch of Service	Dates of Duty From - To	Military Rank	Date of Discharge

Are you willing to relocate to the Grove City, Pennsylvania area?


Education:
Level	School Attended	Degree Received
High School
Technical School
College
Graduate
Other


Please describe any specialized training, apprenticeship, or skills.


Employment Experience:
Dates: From - to	Employer Name	Address	Position Held	Wage Rate	Reason for leaving

Summarize any specialized skills and/or qualifications acquired from previous employment.


Employment References:
Company	Name of Supervisor	Title	Telephone #

By submitting this online application I hereby give the Borough of Grove City the right to make a thorough investigation into my background, previous employment, education, and references in order to ascertain my suitability for employment with the Borough of Grove City. I release from all liability and claims any and all persons, companies and corporations supplying any information whatsoever to representatives of the Borough of Grove City. This includes and is not limited to parties with whom I have entered into a written or oral agreement which contains a confidentiality clause. I release, indemnify and hold harmless the Borough of Grove City, its officials, officers, and employees from and against all liability which might result from conducting such an investigation.

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