Folly Beach Online Employment Application Step 1 of 5 20% Applicant InformationLast Name*First Name*MIDate Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Date Available* Desired SalaryPosition Applied forAre you a citizen of the United States?*YesNoIf no, are you authorized to work in the U.S.?*YesNoHave you ever worked for this company?*YesNoIf yes, when?*Have you ever been convicted of a felony?*YesNoEducationHigh SchoolHigh School AddressCollegeCollege AddressDid you graduate College?YesNoCollege Degree*Other EducationOther AddressDid you graduate from Other?YesNoOther Degree* Please list three professional references.Reference 1Full Name RelationshipCompanyPhoneAddressReference 2Full Name RelationshipCompanyPhoneAddressReference 3Full Name RelationshipCompanyPhoneAddress Previous EmploymentEmployer 1CompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFrom DateTo DateReason for LeavingMay we contact your previous supervisor for a reference?*YesNoEmployer 2CompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFrom DateTo DateReason for LeavingMay we contact your previous supervisor for a reference?*YesNoEmployer 3CompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFrom DateTo DateReason for LeavingMay we contact your previous supervisor for a reference?*YesNo Military ServiceBranchFromToRank at DischargeType of DischargeIf other than honorable, explainDisclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that, in compliance with the Freedom of Information Act, the City of Folly Beach is obligated to release the names of three or more finalists for any position for which I may apply.”Signature*Date* APPLICANT’S STATEMENTI certify that answers given herein are true and complete. I authorize investigation of all statements contained in the application for employment as may be necessary in arriving at an employment decision. I understand that if I am tentatively selected for employment with the City of Folly Beach I will be required to submit to various background checks including, but not limited to, reference screening, criminal records checks, driving record checks, a post-offer medical examination and post-offer drug screening. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with the City of Folly Beach is of an “at will” nature, which means that the Employee may resign at any time and the City may discharge the Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the Mayor. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.Signature*Date*
