Form Center

Personal Information

First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Are you at least 18 years of age? (If no, you may be required to provide authorization to work.)*
1. Yes
1. No
Are you eligible to work in the United States?*
1. Yes
1. No
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?*
1. Yes
2. No
Have you ever worked here before?*
1. Yes
2. No
When?
When? Start Date
—
When? End Date
If you are related to anyone currently working for the Town of Hampton, please state their name and department
Are you currently employed?*
1. Yes
1. No
If yes, may we contact your current employer?
1. Yes
1. No
Upload Your Resume (not required)
Continue

Give the names of three (3) persons not related to you, whom you have known at least three (3) years
Full Name*
Relationship*
Company*
Phone Number*
Full Name*
Relationship*
Company*
Phone Number*
Full Name*
Relationship*
Company*
Phone Number*
Continue |Go Back

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 the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.

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

Leave This Blank: