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Summer Teen Employment Application

  1. Applicant Information
  2. Are You Eligible to Work in the United States?*
  3. Would This Be Your First Job?
  4. Are You Currently Employed?
  5. Have You Worked in Winooski's Summer Teen Employment Program Before?
  6. Employment History
  7. Current Job Information
  8. Name, Email, Phone

  9. May We Contact?
  10. Previous Job Information
  11. Name, Email, Phone

  12. May We Contact?
  13. Name, Email, Phone

  14. Education Information
  15. References
  16. Name, Email, Phone

  17. Name, Email, Phone

  18. Name, Email, Phone

  19. Additional Info
  20. Non-Discriminiation Policy

    It is the policy of this Municipality to provide equal opportunity to apply to all applicants and employees without regard to race, color, religion, sex, national origin, ancestry, place of birth, age, marital status, pregnancy status, genetic information, physical or mental condition, HIV status, veteran status, sexual orientation, gender identity, or other category protected by state or federal law. No question is asked on this application or during the application process for the for the purpose of excluding any applicant due to the aforementioned protected categories or other category protected by law.

  21. Disclaimer and Signature

    I understand omissions or misrepresentati ons may be cause for rejection or, if employed, may be cause for immediate dismissal. I hereby authorize any former employer, person, firm, corporation or educational institution listed heron including this municipality to answer any and all questions, provide documents and agree to hold all persons harmless for giving any and all truthful information within their knowledge or records. I understand this is a preliminary application and not a contract for employment. Furthermore, in the event I am hired, my employment shall be completely voluntary and may be terminated at will at any time for any non-discriminat ory reason upon notice by either myself or the municipality. I agree to comply with all reasonable rules of the municipality and condition of employment.

  22. By clicking yes, I hereby attest that all information provided by me is true and correct to the best of my knowledge.*
  23. Leave This Blank:

  24. This field is not part of the form submission.