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Application for Employment

<form-template>
	<fields>
		<field type="text" subtype="text" label="Position Applied For" class="form-control text-input" name="text-1667492706273"></field>
		<field type="date" label="Date of Application" class="form-control calendar" name="date-1667492720393"></field>
		<field type="checkbox-group" label="How did you learn about us?" class="checkbox-group" name="checkbox-group-1667492754164" enable-other="true" other="true">
			<option value="Advertisement" selected="true">Advertisement</option>
			<option value="Employment Agency">Employment Agency</option>
			<option value="Friend">Friend</option>
			<option value="Relative">Relative</option>
			<option value="Walk-in">Walk-in</option>
		</field>
		<field type="header" subtype="h1" label="Personal Information" class="header"></field>
		<field type="text" subtype="text" label="Name" class="form-control text-input" name="text-1667492969696"></field>
		<field type="text" subtype="text" label="Street" class="form-control text-input" name="text-1667492987712"></field>
		<field type="text" subtype="text" label="City" class="form-control text-input" name="text-1667492998136"></field>
		<field type="text" subtype="text" label="State" class="form-control text-input" name="text-1667493006800"></field>
		<field type="text" subtype="text" label="Zip" class="form-control text-input" name="text-1667493018615"></field>
		<field type="text" subtype="text" label="Phone Number" class="form-control text-input" name="text-1667493050697"></field>
		<field type="text" subtype="email" label="Email Address" class="form-control text-input" name="text-1667493064929"></field>
		<field type="select" label="Are you 18 years or older?" class="form-control select" name="select-1667493089209">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="select" label="Are you either a U.S. Citizen or authorized to work?" class="form-control select" name="select-1667493115609">
			<option selected="true">Yes</option>
			<option value="option-2">No</option>
		</field>
		<field type="header" subtype="h1" label="Employment Desired" class="header"></field>
		<field type="text" subtype="text" label="Position Desired" class="form-control text-input" name="text-1667493188810"></field>
		<field type="select" label="Can you perform the essential functions for this position with or without reasonable accommodation?" class="form-control select" name="select-1667493337890">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="date" label="Date you can start" class="form-control calendar" name="date-1667493217242"></field>
		<field type="text" subtype="text" label="Salary Desired" class="form-control text-input" name="text-1667493214041"></field>
		<field type="select" label="Annual or Hourly" class="form-control select" name="select-1667493270842">
			<option value="Annual" selected="true">Annual</option>
			<option value="Hourly">Hourly</option>
		</field>
		<field type="select" required="true" label="Have you ever worked for the Town of Monroe?" class="form-control select" name="select-1668616863408">
			<option value="No" selected="true">No</option>
			<option value="Yes">Yes</option>
		</field>
		<field type="text" subtype="text" label="If yes, Department/Position/Dates" class="form-control text-input" name="text-1667493244130"></field>
		<field type="select" label="Do you have friends or relatives working here?" class="form-control select" name="select-1667493389307">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="text" subtype="text" label="If yes, list name(s) and relationship to you." class="form-control text-input" name="text-1667493419933"></field>
		<field type="header" subtype="h1" label="Education" class="header"></field>
		<field type="text" subtype="text" label="High School Name or GED" class="form-control text-input" name="text-1667493462114"></field>
		<field type="text" subtype="text" label="Location of High School" class="form-control text-input" name="text-1667493480469"></field>
		<field type="select" label="Did you graduate High School?" class="form-control select" name="select-1667493493087">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="text" subtype="text" label="College Name" class="form-control text-input" name="text-1667493521292"></field>
		<field type="select" label="Did you graduate college?" class="form-control select" name="select-1667493553239">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="text" subtype="text" label="Area of study" class="form-control text-input" name="text-1667493579249"></field>
		<field type="text" subtype="text" label="Graduate Trade Business or Correspondence School" class="form-control text-input" name="text-1667493591751"></field>
		<field type="text" subtype="text" label="Number of years attending the above" class="form-control text-input" name="text-1667493609550"></field>
		<field type="select" label="Did you graduate trade school?" class="form-control select" name="select-1667493630419">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="header" subtype="h1" label="Work History" class="header"></field>
		<field type="text" subtype="text" label="1. Name and Address of Employer" class="form-control text-input" name="text-1667493696018"></field>
		<field type="text" subtype="text" label="Position" class="form-control text-input" name="text-1667493713955"></field>
		<field type="text" subtype="text" label="Reason for Leaving" class="form-control text-input" name="text-1667493723946"></field>
		<field type="text" subtype="text" label="2. Name and Address of  Employer" class="form-control text-input" name="text-1667493774557"></field>
		<field type="text" subtype="text" label="Position of Employer" class="form-control text-input" name="text-1667493796630"></field>
		<field type="text" subtype="text" label="Reason for Leaving " class="form-control text-input" name="text-1667493797516"></field>
		<field type="header" subtype="h1" label="Additional Information" class="header"></field>
		<field type="textarea" label="Other Qualifications: List special job-related skills, certifications, and qualifications you possess" class="form-control text-area" name="textarea-1667493864184"></field>
		<field type="header" subtype="h1" label="References" class="header"></field>
		<field type="textarea" label="1. Reference Name &amp;amp;amp;amp;amp; Phone Number" class="form-control text-area" name="textarea-1667493942879"></field>
		<field type="textarea" label="2. Reference Name &amp;amp;amp;amp;amp; Phone Number" class="form-control text-area" name="textarea-1667493993955"></field>
		<field type="textarea" label="3. Reference Name &amp;amp;amp;amp;amp; Phone Number" class="form-control text-area" name="textarea-1667494010615"></field>
		<field type="paragraph" subtype="p" label="Do you give the Town of Monroe permission to contact your current employer and or references? Please note in the comment box below." class="paragraph"></field>
		<field type="textarea" label="Comments" class="form-control text-area" name="textarea-1667495056264"></field>
		<field type="paragraph" subtype="p" label="I authorize representatives of the Town of Monroe to obtain pertinent information from my previous employers, references, and other persons with knowledge of my work history and background. I authorize my previous employers, references, and persons with knowledge of my work history and background to provide pertinent information to the Town and hereby release all such persons and waive any and all claims, demands or causes of action whatsoever, in connection with the request for the release of such information. I certify that the information or falsifications will be reason for withdrawal of a job offer or termination of employment whenever the omission or falsehood is discovered. I authorize any investigation into the statements I have made in this application as necessary to arrive at an employment decision." class="paragraph"></field>
		<field type="paragraph" subtype="p" label="All employees of the Town of Monroe have the right to resign from their jobs at any time, for any reason or for no reason at all, with or without advance notice. The Town retains the same right with respect to termination of any employee’s employment. No manager, supervisor or other individual of the Town of Monroe has authority to make a commitment of guaranteed or continuing employment to you, and no document or publication of the Town should be interpreted to make such a guarantee. Nothing stated by the Town of Monroe, in writing or orally, during the interview and/or hiring process is to be construed as creating a contract between the applicant and the Town of Monroe." class="paragraph"></field>
		<field type="paragraph" subtype="p" label="I recognize and acknowledge that the Town of Monroe is fully committed to a work place free from illegal drugs. In this regard, I expressly consent to a pre-employment drug test, the results of which will be considered by the Town in its decision to hire me." class="paragraph"></field>
		<field type="checkbox" label="I have read, understand and agree to the foregoing." class="checkbox" name="checkbox-1667495685021"></field>
		<field type="file" required="true" label="Resume - upload your resume here, Word or PDF format only." class="form-control file-input" name="file-1667495436291" multiple="true"></field>
		<field type="file" label="Cover Letter - Upload your cover letter here, Word or pdf format only" class="form-control file-input" name="file-1667495477376"></field>
		<field type="date" label="Today's Date" class="form-control calendar" name="date-1667495532562"></field>
	</fields>
</form-template>

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Application for Employment