Employment Application Administration Human Resources Events Finance Fire Municipal Staff Directory Parks and Recreation Planning & Inspection Police Public Works Tax Tourism Town Clerk Utility Billing Community & Economic Development Step 1 of 4 25% Date MM slash DD slash YYYY NameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail Position Applying forSalary DesiredHours Available to Work:MonTuesWedThursFriSatSunDate available to begin work? Full-Time Part-time Full or Part-time Do you have a drivers license? Yes No State of IssueAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDrivers License No.Do you had any moving violations in the past 3 years? Yes No How Many?Have you had any accidents in the past 3 years? Yes No How Many?Have you ever been convicted of a crime? Yes No If Yes, explainEducationType of SchoolSelectGEDHigh SchoolVocational SchoolCommunity CollegeUniversityOtherName of School & AddressNo. YearsMajor / Degree / CertificationType of SchoolSelectGEDHigh SchoolVocational SchoolCommunity CollegeUniversityOtherName of School & AddressNo. YearsMajor / Degree / CertificationType of SchoolSelectGEDHigh SchoolVocational SchoolCommunity CollegeUniversityOtherName of School & AddressNo. YearsMajor / Degree / CertificationType of SchoolSelectGEDHigh SchoolVocational SchoolCommunity CollegeUniversityOtherName of School & AddressNo. YearsMajor / Degree / Certification Previous Employment (list up to 3)Employer 1Name of EmployerName of Last SupervisorDate of EmploymentFrom MM slash DD slash YYYY To MM slash DD slash YYYY SalaryFromToComplete Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone #Last Job TitleReason for Leaving (be specific)List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this companyMay we contact your employer Yes No Add Another Employer Employer 2Name of EmployerName of Last SupervisorDate of EmploymentFrom MM slash DD slash YYYY To MM slash DD slash YYYY SalaryFromToComplete Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone #Last Job TitleReason for Leaving (be specific)List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this companyMay we contact your employer Yes No Add Another Employer Employer 3Name of EmployerName of Last SupervisorDate of EmploymentFrom MM slash DD slash YYYY To MM slash DD slash YYYY SalaryFromToComplete Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone #Last Job TitleReason for Leaving (be specific)List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this companyMay we contact your employer Yes No SkillsTypingComputer PC Mac Both Applications (list all that apply)Other SkillsPlease List 2 References: 1 Professional Reference and 1 Personal ReferenceProfessional ReferenceNamePositionCompanyTelephonePersonal ReferenceNamePositionCompanyTelephoneUse this space to add any additional information necessary to describe your full qualifications for the position which you are applying Are you a veteran of the U.S. Military Service? Yes No If yes, what branch?Are you a U.S. Citizen? Yes No If not a U.S. citizen, give your country of origin and alien registration number.Have you ever applied with or worked for the Town Beech Mountain? Yes No If yes, when and why did you leave?Are you related by blood or marriage to any current Beech Mountain employee? Yes No If so, what is their name and which department do they work in?Referred byFileAccepted file types: pdf, Max. file size: 2 GB. Address 403 Beech Mountain Pkwy Beech Mountain, NC 28604 Town Manager Robert Pudney rpudney@townofbeechmountain.com 828-387-4236 Finance Officer Steven Smith ssmith@townofbeechmountain.com 828-387-4236 Town Clerk Emily Haynes ehaynes@townofbeechmountain.com 828-387-4236 Human Resources/ Tax Administrator Rebecca Ward Rward@townofbeechmountain.com 828-387-4236
