Code Enforcement Officer

APPLICATION FOR

Code Enforcement Officer,

TOWN OF JONESBOROUGH

Date of Application*

POSITION(S) APPLIED FOR*

Name*

Last 4 of social security number*

Address*

How long have you lived at the above address?*

Phone Number*

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Email*

NOTE: If hired, you must furnish proof that you are at least 18 years of age (21 for certain positions), or if under 18 you must provide required proof of permit to work.

Are you a U.S. Citizen?*

Yes
No
If No, you must furnish proof that you are eligible to work in the Unitied States

Driver's License State*

Driver's License Number:*

Driver's License Classification*

Driver's License Expiration Date:*

Available to work:*

Full Time
Part Time
Temporary

Have you ever filed an application with us before?

Yes
No

If Yes, give Date

If Yes, what Position

Resume:*

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Cover Letter:

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Have you ever been employed with us before?*

Yes
No

If Yes, give date and position held

On what date would you be available to work?*

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