Form Center

Step One

EMPLOYMENT APPLICATION
Town of Winchester 71 Mt. Vernon Street Winchester, MA 01890
Position *
Please list position you are applying for
Last Name*
First Name*
Middle Name
Address1*
Address2
City*
State*
Zip*
Home Phone*
Other phone
Email*
Are you currently employed by the Town of Winchester or the Winchester School District?*
1. Yes
1. No
If Yes, which Department?
If hired, can you provide proof of US citizensip or the legal right to work in the United States?*
1. Yes
1. No
If you are under the age of 18, you will also need to provide a Work Permit
Professional licenses, certifications, registrations:
Please list
How did you learn of this employment opportunity?*
1. Newspaper
1. Job Announcement
1. Town Website
1. Other
Please list the newspaper or other source
Continue

Step Two

EDUCATION
High School last attended and location*
Did you graduate?*
1. Yes
1. No
Please list all University, College, Business and Trade Schools you have attended
Please include school name, location, and degree or certificate received
EMPLOYMENT BACKGROUND (including volunteer work)
List present employment first. Account for the past ten (10) years. Include United States military service. A resume or supplemental sheet may be included, however, this section must be completed. You may include any verified volunteer employment.
Most current Employer
Job title
Employer Address (include street, city and state)
Employer Phone
Dates employed
Current Salary (optional)
Job duties:
Supervisor (Name and Title)
Reason for leaving
Employer
Job Title
Employer Address (include street, city and state)
Employer Phone
Dates employed
Salary (optional)
Job duties:
Supervisor (Name and Title)
Reason for leaving
Employer
Job Title
Employer Address (include street, city and state)
Employer Phone
Dates employed
Salary (optional)
Job dutes:
Reason for leaving
Have you retired from any Massachusetts municipality?
1. Yes
1. No
If so, which one?
Continue |Go Back

Step Three

FAMILY RELATIONSHIP
In order to prevent bias or favoritism because of family relationships, the following information is required.
Do you have any family members who are employed by the Town of Winchester or the Winchester School District?
1. Yes
1. No
If yes, indicate the name of the related employee(s) and the department they work for:
REFERENCES
Name
Phone
Business Address
Title
Name
Phone
Business Address
Title
Name
Phone
Business Address
Title
Continue |Go Back

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY:

1. It is a violation of Massachusetts General Law to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law is subject to criminal penalties and civil liability.
2. I understand that any offer of employment that I receive from the Town of Winchester is contingent upon my successful results of the pre-employment screening process including, but not limited to, the Town of Winchester receiving satisfactory references, a satisfactory criminal history and Criminal Offense Record Inquiry (CORI) and/or credit check if required, satisfactory verification of driver's license or other certifications or licensing, and satisfactory results of any required post-offer pre-employment drug test or physical examination.
3. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including contacting present and former employers, and I authorize present and former employers and references to provide information to the Town as needed to consider my application. I hereby release the Town, my present and former employers and all individuals contacted for factual information about me from any and all liability for damages arising from furnishing the requested information.
I certify that all statements made by me on this application are true, complete and correct to the best of my knowledge and understand that any falsifications or omissions may be cause for forfeiture on my part of all rights to employment with the Town of Winchester and may subject me to disqualification or dismissal.
Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Please upload RESUME
Please only upload: .pdf, .doc(x). .txt, or .jpg files.
Please upload COVER LETTER
Please only upload: .pdf, .doc(x). .txt, or .jpg files.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit Submit and Print | Go Back

Search Forms:

EMPLOYMENT APPLICATION

Steps

Step One

Step Two

Step Three

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY:

Contact Us

Quick Links

Helpful Links

FAQs