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CONTACT US
AFTER HOURS

FULTON, MISSISSIPPI

Historical Fulton MS

City of Fulton
Application for Employment

We are an Equal Opportunity Employer and is committed to excellence through diversity.

The application must be fully completed to be considered. Please complete each section, even if you attach a resume.

First Name

Last Name

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Phone

Driver's Licnese No.

Are you a U.S. Citizen?

Yes

No

Email

Have you ever been convicted of a felony?

Yes

No

If selected for employment are you willing to submit to a pre-employment drug screening test?

Yes

No

Have you ever been employed by the City of Fulton before?

Yes

No

If yes: What department and what was your reason for leaving?

How many of your relatives are employed by the City of Fulton?

Are you physically capable to do the job?

Yes

No

Have you ever been released from a job? If so, please explain:

Position you are applying for:

Available Start Date:

Employment Desired:

Full Time

Part Time

Seasonal/Temporary

Education

School Name

Location

Years Attended

Degree Received:

Major:

School Name

Location

Years Attended

Degree Received:

Major:

School Name

Location

Years Attended

Degree Received:

Major:

References

Name:

Company:

Title:

Phone:

Name:

Company:

Title:

Phone:

Name:

Company:

Title:

Phone:

Employment History

Please start from most recent.

Employer (1)

Job Title:

Dates Employed:

Company Phone:

Starting Pay Rate:

Company Address

Ending Pay Rate:

Employer (2)

Job Title:

Dates Employed:

Company Phone:

Starting Pay Rate:

Company Address

Ending Pay Rate:

Employer (3)

Job Title:

Dates Employed:

Company Phone: