To provide quality training at both the in-service and recruit levels through comprehensive and innovative educational practices.
5033 English Creek Avenue
Egg Harbor Township
New Jersey
08234-5743
United States
+1 (609) 407-6727
+1 (609) 407-6717

Division of Human Resources

Department of Administrative Service

Employment Application

Step 1: Begin the Application

Be sure to read the directions on EACH section and complete the entire process.

IMPORTANT:  DO NOT USE YOUR BROWSERS BACK BUTTON WHILE COMPLETING THE APPLICATION.   If you make a mistake you will have the opportunity to review and make corrections at the end of the process.  You will also be able to print a copy of your application for your records.

IMPORTANT:  Fields marked with * are required.  You will not be able to proceed without entering your First and Last Name, Address, Phone Number, Email Address and Social Security Number.  If you do not wish to enter this information please print the application from the link to the left and mail the completed application.

Personal Data

Are you either a  United States citizen or permanent resident?  

Are you 18 years of age or over?  

Are you related to any County employee?    

If YES, please provide name and relationship:

Have you ever held a position with Atlantic County Government?  

Previous Employment History

Please use the first employer spot to include information on your current position with Atlantic County.

May we makea reference check with your present Employer(s)?  


Dates Employed:


Dates Employed:


Dates Employed:


Dates Employed:


Have you ever been dismissed from any of these positions?  Yes

Need Additional Employment Spaces?  You will be able to enter additional employers AFTER completing this page and clicking the "Submit Application" button.

Office Skills

Education




United States Military Service

Veteran?    

If a tentative offer of employment is made, are you willing to:

a) receive a complete pre-hire health screening?

b) authorize a release of the results to the Division of Human Resources?

References

Reference


Reference


Reference


In case of emergency contact: 

EEO Information

The Federal Equal Employment Opportunity Commission requires us to monitor employment and referral. The data requested on this form will only be used for information and reporting purposes. In no case will it affect a hiring decision or tenure of employment. Submission of information is voluntary.


Referral Source:

Advertisement  Friend  Relative  Walk In  County Web Page

Other, specify:

 

*
Race/Ethnicity:

White (not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.
Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
American Indian or Alaska Native (not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian (not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander (not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Two or More Races (not Hispanic or Latino) - All persons who identify with more than one of the above five races.

Driver's License Information:

If the operation of a vehicle is necessary for this position, a valid N.J. driver's license is required.

Do you have a valid N.J. license?  

If position requires a Commercial Driver's License (CDL):

We are an Equal Employment Opportunity Employer.  All applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, physical or mental disabilities, or other status as protected by Federal or State Law.

APPLICANT'S STATEMENT

I certify that the answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.  I understand that this application is not and does not intend to be a contract of employment.  I understand that if my application is incomplete it may be rejected.

I understand that submission of false information on this application or in an employment interview is grounds for withdrawal of job offer or termination of employment.  I understand, also, that I am required to abide by all rules and regulations of Atlantic County Government.

Date of Application:  8/21/2019

AN EQUAL OPPORTUNITY EMPLOYER

In accordance with NJSA 34 ("Right to Know" Law), information is available on hazardous substances you may be potentially exposed to at various work sites.  For more information, contact the Atlantic County Division of Public Health.

 

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