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2. Phone: (615) 794-4333 Fax: (615) 794-3313 www.thompsons-station.com
3. 
4. 1550 Thompson's Station Rd West P.O. Box 100 Thompson's Station, TN 37179
6. Application for Employment
   An Equal Opportunity Employer
10. Notice: The Town of Thompson's Station is committed to the principles of equal opportunity, equal access and affirmative action. Discrimination on the basis of age, race, sex, color, religion, sexual orientation, national origin, disability or any other non-merit factor is prohibited. To receive proper consideration, ALL questions must be answered.
14. Position Requested:*
15. Date:*
    Date:

    Date:
17. First Name*
18. Last Name*
20. E-mail Address*
22. Phone Number*
24. Address1*
26. Address2
28. City*
29. State*
30. Zip*
32. When can you begin work?*
33. What are your salary requirements?*
35. Are you over the age of 18?*

    1. Yes
    2. No
36. Do you have a legal right to work and remain in the United States?*

    1. Yes
    2. No
38. Have you been dismissed or forced to resign from employment?*

    1. Yes
    2. No
39. If you answered yes, please describe in full:
41. High School
    List your High School name and address, number of years attended and highest grade completed (eg. 9, 10, 11, 12, or GED)
43. College or Secondary School
    List your College name and address, number of years attended, number of years completed and any degree you recieved
45. Other College or education
    List the name and address and any credentials received from any other college or secondary school.
49. Employment History
    Give the names and addresses of previous employers (including civil service). Please list in order with most recent employer first. If you are now working, give name and address of present employer and state such reason or desire to quit. Also give reason for any lapse of time between periods of employment.
51. Name and Address and Phone Number of Employer
52. Title of Position
54. Employed from -- to --
    Employed from -- to -- Start Date

    Employed from -- to -- Start Time

    —

    Employed from -- to -- End Date

    Employed from -- to -- End Time
55. Starting Salary and Last Salary
57. Name and title of your immediate supervisor
58. May we contact this employer?

    1. Yes
    2. No
59. Number of Employees you Supervised
60. Reason for Leaving
62. Describe your duties:
66. Name and Address and Phone Number of Employer
67. Title of Position
69. Employed from -- to --
    Employed from -- to -- Start Date

    Employed from -- to -- Start Time

    —

    Employed from -- to -- End Date

    Employed from -- to -- End Time
70. Starting Salary and Last Salary
72. Name and title of your immediate supervisor
73. May we contact this employer?

    1. Yes
    2. No
74. Number of Employees you Supervised
75. Reason for Leaving
77. Describe your duties:
81. Name and Address and Phone Number of Employer
82. Title of Position
84. Employed from -- to --
    Employed from -- to -- Start Date

    Employed from -- to -- Start Time

    —

    Employed from -- to -- End Date

    Employed from -- to -- End Time
85. Starting Salary and Last Salary
87. Name and title of your immediate supervisor
88. May we contact this employer?

    1. Yes
    2. No
89. Number of Employees you Supervised
90. Reason for Leaving
92. Describe your duties:
96. Name and Address and Phone Number of Employer
97. Title of Position
99. Employed from -- to --
    Employed from -- to --

    Employed from -- to --
100. Starting Salary and Last Salary
102. Name and title of your immediate supervisor
103. May we contact this employer?

     1. Yes
     2. No
104. Number of Employees you Supervised
105. Reason for Leaving
107. Describe your duties:
111. Have you ever been convicted, forfeited bond, or are you currently on probation for any felony in a court of law or general court martial? (A felony is defined as an offense punishable by imprisonment for a term exceeding one year.)

     1. Yes
     2. No
113. If yes, give details for each offense. Include (1) date, (2) charge, (3) place, (4) court, and (5) action taken. You must disclose any conviction involving a sentence or suspended sentence. You may omit: (1) any offense committed before your 18th birthday which was finally adjudicated in a juvenile court; (2) any conviction which has been expunged under Federal or State law. A conviction will not necessarily disqualify you from consideration. A conviction will be judged on its own merits with respect to time, circumstances, and seriousness and only to the extent permitted by law.
115. Have you ever worked in a position that required you to be bonded? If yes, please explain.
117. Is there anything that would prevent you from performing in a reasonable an safe manner the activities involved in the position for which you have applied? If yes, please explain.
121. References
     Please provide personal and/or professional references and contact information.
123. First Name
124. Last Name
126. E-mail Address
128. Phone Number
129. How do you know this person?
131. First Name
132. Last Name
134. E-mail Address
136. Phone Number
137. How do you know this person?
139. First Name
140. Last Name
142. E-mail Address
144. Phone Number
145. How do you know this person?
149. I understand and agree to the following:*

     1. I agree
     2. I disagree

     1. The facts set forth in my application for employment are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions or false statements on this application shall be considered sufficient cause for refusal of employment, or if employed, termination from AOC employment. 2. I am a citizen or have a legal right to work and remain in the United States. I will provide identification when required. 3. I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all libility for damages arising from furnishing the requested information. 4. Nothing in this document should be construed as contractual in nature.
151. Upload any Cover Letter, Resume, References, Certifications, etc.
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153. 1. Receive an email copy of this form.
154. Email address

     This field is not part of the form submission.

155. Submit

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