Employment Other Harris Township Ohio RM_StatsPersonal InformationFirst Name *Middle NameLast NameAddress Address Line 1 * Address Line 2 City * State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State or Region * Country * ZIP * Email *Phone *Position applied for *Select an optionroads/maintenancecemeteryzoningtownship hall custodianFull/Part Time *Select an optionFull Time EmploymentPart Time EmploymentDo you have a valid State of Ohio Driver License? * Yes No Do you hold a Driver License in any other State. * Yes No Has your Driver License ever been suspended or revoked? * Yes No Have you been involved in any traffic accidents where you were cited? * Yes No EMPLOYMENT ELIGIBILITYAre you legally eligible to work in USA? Yes No Do you have any physical limitations that prevent you from performing your duties if hired? Please answer yes or no to the following.Are you willing to submit/pass a controlled substance test? *Select an optionYesNoDo you have experience in any of the following areas?Dump Truck Yes No Willing to Qualify Welder Yes No Willing to Qualify Maintenance tools/Equiptment. Yes No Willing to Qualify Pick-up Truck Yes No Willing to Qualify Lawn Tractor/Mower Yes No Willing to Qualify Computer Wordpressing Yes No Willing to Qualify Snow Plow Yes No Willing to Qualify Chain Saw Yes No Willing to Qualify Computer Spreadsheet Yes No Willing to Qualify Tractor Yes No Willing to Qualify Various Hand Tools Yes No Willing to Qualify Record Keeping Yes No Willing to Qualify Backhoe Yes No Willing to Qualify Front End Loader Yes No Willing to Qualify Activity Scheduling Yes No Willing to Qualify Specialized EducationSpecialized education or training that would be an asset for the job or any other information that you feel is pertinent to your application. (Attach additional sheet for details if necessary.)Specialized EducationEducationHigh SchoolState, CityCollege/UniversityState, CityOtherState, CityPREVIOUS EMPLOYMENTCurrent employer (company/Individual)AddressJob titleJob responsibilitiesAny previous employment record - please provide company name and contact info.REFRENCESYour reference within this companyEmployee IDCover Letter, Resume, & ReferencesDisclaimer *I certify the information above is true to the best of my knowledge and any misleading/ false information in this form may result in job being terminated or not subject for hire. I certify that all information provided herein is true and complete to the best of my knowledge. I hereby authorize the Harris Township Trustees to make any investigations of my criminal, motor vehicle, educational, and employment histories or any other related affairs as maybe necessary in arriving at an employment decision. I also release all persons from liabilities in responding to inquiries regarding my application. In the event of employment, I understand that discovery of false or misleading information in my application or during my employment interview, may result in my discharge. I understand that I am required to follow all rules, regulations, policies, procedures, and job requirements of Harris Township Ohio and that failure to do so may result in discharge.I accept Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.