Town of Springerville
418 E Main Street
Springerville, AZ 85938
928-333-2656
FAX: 928-333-3056


READ THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE FILLING OUT YOUR APPLICATION FOR EMPLOYMENT.

All requested information must be furnished. If an item does not apply to you, or if there is no information to be given, write in letters "NA" for Not Applicable. All information contained on the application is subject to verification. Any omissions or misstatements may be cause for rejection of this application, removal of your name from an eligibility list, or discharge from the Town. Note, for completing "Employment History": Fill in all spaces accurately and completely. List all work/volunteer experience which is related to the job for which you are applying.

A RESUME MAY BE SUBMITTED AND UPLOADED BELOW IN PLACE OF EDUCATION AND EMPLOYMENT HISTORY.

EDUCATION

Name(s) of Colleges or Universities attended, dates attended, courses taken or degrees earned:

Trade, Technical, Correspondence, or other courses taken, dates attended, courses studied, completion date

Other recognition, awards or associations that you have received or are a member of

PRE-EMPLOYMENT REVIEW
A background check, a drug/alcohol screening, a physical examination or other pre-employment screening will be required for the job you are applying for and an offer of employment will be contingent upon your passing said examination(s).

EMPLOYMENT HISTORY

PRESENT OR MOST RECENT JOB:

PRESENT OR MOST RECENT JOB:

REFERENCES
Provide at least three (not related to you) who have known you for at least five (5) years:

I herby certify and represent that all information given on this application and any supporting information is true and complete. I understand that any falsification or material omission of information is grounds for refusal to hire or, if hired, are grounds for termination. I herby grant the Town of Springerville permission to contact any person or organization and question them about my job-related suitability. I understand that the application with all the its attachments will be the property of the Town of Springerville and considered a public record under the Arizona State law and therefore subject to release without notice. I will keep the Town Clerk advised about any changes of address or telephone number so long as I am employed or being considered for employment by the Town of Springerville.