Form Center • Temple Terrace, FL • CivicEngage

City of Temple Terrace Application for Employment

Which position are you applying for?*
Position #*
Type of employment desired*
1. Full Time
1. Part Time
1. Internship
1. Volunteer
Personal Information
First Name*
Last Name*
Middle Initial*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Have you ever been convicted of a violation of the law other than a minor traffic violation?*
1. Yes
2. No
If yes, please explain. Note: An arrest or conviction will be reviewed in relation to the circumstances and will not necessarily prevent you from employment.
Do you have a valid Driver's License or State ID?*
1. Yes
2. No
State
Type
Number
Expiration Date
Expiration Date
List and provide details of traffic citations received in the past two years.
Have you ever been demoted, discharged or forced to resign?*
1. Yes
2. No
If yes, please explain.
Are you related to anyone employed by the City of Temple Terrace? *
1. Yes
2. No
If yes, provide name and relationship.
Are you eligible to work in the United States?*
1. Yes
2. No
If no, please explain.
If hired, indicate date you are available to start.*
If hired, indicate date you are available to start.
How did you hear about the position?*
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High School*
Address
High School Diploma or GED?*
1. Yes
2. No
College
Address
Degree
Other
Address
Degree
Do you have a valid trade license or certificate?*
1. Yes
2. No
If yes, type and expiration date.
Are you a veteran of the armed forces? *
1. Yes
2. No
If yes, indicate dates of service.
If yes, indicate dates of service. Start Date
—
If yes, indicate dates of service. End Date
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(From Most Recent)
Employer
Position
Supervisor
Phone Number
Do you have any objection to the City of Temple Terrace contacting your current employer?
1. Yes
1. No
Address
Duties & Responsibilities
Employed From - To (Date)
Salary
Reason for leaving.
Employer
Position
Supervisor
Phone Number
Address
Duties & Responsibilities
Employed From - To (Date)
Salary
Reason for Leaving
Employer
Position
Supervisor
Phone Number
Address
Duties & Responsibilities
Employed From - To (Date)
Salary
Reason for leaving.
Employer
Position
Supervisor
Phone Number
Address
Duties & Responsibilities
Employed From - To (Date)
Salary
Reason for Leaving
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Indicate any professional or occupational licenses, registrations or certifications you currently hold. If a license or certification is required for a position, please submit a copy with this application. List any special knowledge, skills or abilities you possess.
Required License or Certification
Upload Your Resume (optional)
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It is the City's policy to provide equal employment opportunity for all applicants and employees. There shall be no discrimination against any person in recruitment, examination, appointment, training, promotion, retention or any other personnel action because of political or religious opinions or affiliations or because of race, color, sex, age or national origin.

Individuals with disabilities will be given equal employment consideration for all classifications. Every effort will be made to employ and retain disabled persons. No qualified individual with a disability shall, on the basis of the disability, be excluded from participation in or be denied the benefits or the services, programs, activities or be subjected to discrimination. Any complaints should be submitted in writing to the Human Resource Director.
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I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.

I understand that a pre-employment drug screen, criminal history background investigation and driver's license verification may be conducted. The City of Temple Terrace is a drug-free workplace.

Your electronic signature below indicates your agreement with the following statement: By typing my name in the following box and clicking submit button, I certify that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*

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