Employment Application | City of Franklin, Virginia

Before you begin

Completing the application

Follow all instructions on each section. Every application — including promotional and transfer applications — must be completed in full. If you need more room for any answer, use the space provided for additional information at the end of the form. A resume may be uploaded to add detail, but it does not replace completing the application itself. A complete and accurate application is essential, because it is the primary source used to determine your qualifications. Be sure to record both the month and year for each period of previous work history; missing dates result in minimum credit.

Materials you submit

Resumes, letters of reference, and any other materials submitted with your application become the property of the City of Franklin and cannot be returned. Your answers are stored securely and are viewed only by authorized City staff.

Job requirements and employment policy

Please note the education and experience requirements listed in the employment advertisement for the position that interests you. These are minimum standards that all applicants must meet to be considered. Employment decisions are made on the basis of merit and fitness for the position. The City of Franklin is an Equal Opportunity Employer. All employees must provide proof of identity and authorization to work at the time of appointment.

What happens after you apply

Your application must be submitted by the closing date stated in the employment advertisement. Submitting this form online records the date and time it was received.
If the position requires a test, you will be notified of the date, time, and place to appear.
Every application received by the closing date is reviewed by the hiring manager for minimum qualifications and completeness.
Applicants selected for an interview are contacted by the hiring department. After interviews, the department makes a selection and returns all applications to Human Resources.
The hiring department and/or Human Resources notifies all candidates of the decision.

Your interest in employment with the City of Franklin is appreciated. If your address or telephone number changes, or if you have a question, please contact us:

City of Franklin Human Resources
Franklin Business Center
601 N. Mechanic Street, Suite 24001 N.
Franklin, VA 23851

(757) 562-8508

JOBS@FRANKLINVA.GOV

Position Applied For

A separate application form is required for each position title.

Position applied for*

Date of application*

How did you hear about this position?

Applicant Information

Last name*

First name*

Middle name

Date of birth — month

Month and day only.

Date of birth — day

Street address*

City*

State*

ZIP code*

Telephone number*

Email address*

If it is necessary to call you, where is the best place to call?

Relatives & Household Members

A "relative" includes spouse, parents, children, brothers, sisters, brothers- and sisters-in-law, fathers- and mothers-in-law, stepparents, stepbrothers, stepsisters, stepchildren, grandparents and grandchildren.

Do you have a relative, or a person living in the same household, currently working in the same City department in which you are seeking employment?*

yes

Employment Eligibility

Are you legally authorized to work in the United States?*

yes

If offered employment, can and will you provide documentation that you are legally authorized to work in the United States?*

yes

If you have been in the armed services, list branch, length of service and final rank

If you are under 18, can you furnish a work permit?

Have you submitted an application to the City of Franklin before?*

yes

Have you been employed by the City of Franklin before?*

yes

Will you work overtime if the position you applied for requires it?

Driver's License

Complete this section if driving is required in the position you applied for.

Driver's license number

License type

Operator

Commercial (CDL)

Class

Endorsements

Have you ever been dismissed from an employment position?*

yes

Have you ever been asked to resign from employment?*

yes

Education History

School name

City, state

Course of study

Degree / date

School name

City, state

Course of study

Degree / date

School name

City, state

Course of study

Degree / date

School name

City, state

Course of study

Degree / date

If you do not have a high school education, do you have a GED?

yes

Employment History

Chronologically state your occupation or employment for the past ten (10) years. Record both the month and year of previous work history.

Most recent employer

Employer name, address and telephone number

Job title

Name of supervisor

From (month/year)

To (month/year)

May we contact this employer?

yes

Responsibilities

Reason for leaving

Previous employer 1

Employer name, address and telephone number

Job title

Name of supervisor

From (month/year)

To (month/year)

May we contact this employer?

yes

Responsibilities

Reason for leaving

Previous employer 2

Employer name, address and telephone number

Job title

Name of supervisor

From (month/year)

To (month/year)

May we contact this employer?

yes

Responsibilities

Reason for leaving

Explain any gaps of three (3) months or more in your employment

Skills, Qualifications & Other Information

Special training, skills, licenses or certifications that may assist you in this position

Computer skills and software you are proficient in

Any other job-related information you would like the City to know about you

Attach your resume (optional)

PDF, Word, RTF or plain text, up to 10 MB. A resume does not take the place of completing this application.

References

Provide three references. At least one must be a current or former supervisor. Please do not list relatives. References are contacted by email and/or telephone.

Name

Company

Reference's job title

Telephone number

Email address

Was/is this person your supervisor?

yes

Name

Company

Reference's job title

Telephone number

Email address

Was/is this person your supervisor?

yes

Name

Company

Reference's job title

Telephone number

Email address

Was/is this person your supervisor?

yes

Authorization for Release of Information

To: (1) any physician, hospital medical association, dentist, psychologist; (2) any academic dean, registrar, principal or guidance counselor of any school or college; (3) any law enforcement agency; (4) any past or present employer; (5) the U.S. Armed Forces; or (6) any credit bureau.

I, (first name, middle initial, last name), have applied for employment with the City of Franklin, Virginia*

I have agreed, as a condition of my application, to have my background, including my credit, investigated by representatives of the City. I authorize and request the release of any and all information you have concerning me, including a transcript of any academic records and credit reports, to a representative of the City of Franklin upon presentation of this release or a copy thereof. I agree that any person who furnishes such information shall not be held accountable for giving it, and I release said person from any and all liability which may otherwise be incurred as a result.

I understand that as a condition of employment I will be required to undergo and successfully complete a test for the presence of illegal drugs and a psychological test, and I consent to those tests. I authorize the City to contact past employers, educational institutions, licensing authorities, personal and business references, and to make any other investigation pertinent to my employment. If this is an application for the Police Department or Fire and Rescue Department, I also consent to a physical examination and fitness test.

I authorize the City to conduct a name search, social security, date of birth and fingerprint based criminal history record inquiry through the Federal Bureau of Investigation and/or the Central Criminal Records Exchange (and, for sworn officers and animal control officers, a driver's license check through the Division of Motor Vehicles). All tests, examinations, background checks and criminal history inquiries shall be at the expense of the City.

If I am hired, I understand that I am free to resign at any time and that the City reserves the right to terminate my employment at any time. An offer of employment does not constitute a contract of employment for a specified period, and I will be in probationary status for one (1) year, during which I must demonstrate my suitability for continued employment.

I certify that all statements made in this application are true to the best of my knowledge and belief. I agree and understand that any false statement of material fact, regardless of when discovered, shall be sufficient cause for refusal of employment or dismissal.

Electronic Signature Agreement

By checking the "I agree" box below, you agree and acknowledge that (1) your application will not be signed in the sense of a traditional paper document, (2) by signing in this alternate manner you authorize your electronic signature to be valid and binding upon you with the same force and effect as a handwritten signature, and (3) you may still be required to provide a traditional signature at a later date.

Electronic signature agreementI agree.

Electronic signature (first name, MI, last name)*

Date*

Review your answers before submitting. The City of Franklin is an Equal Opportunity Employer.