Employment Application | Lyndhurst Municipal Court

Instructions

The Employment Application must be completed in one session, do not close your browser or navigate away from this page or your information will be lost.
Before beginning the Employment Application, review all of the questions to make sure you have all the necessary information ready.
The Employment Application may take 20-60 minutes to complete. Make sure you reserve enough time to finish.
While completing the Employment Application, all required fields are marked with a red asterisk (*). If a field is required but does not apply to you; type N/A into the field.

Please provide the following details.

Position Information

Date *

Position for which you are applying *

Education

High School Name *

High School Location

College or University Name (1)

Major (1)

Minor (1)

Degree Earned (1)

College or University Name (2)

Major (2)

Minor (2)

Degree Earned (2)

College or University Name (3)

Major (3)

Minor (3)

Degree Earned (3)

Technical or Professional School Name

Area of Study

Degree Earned

Work Experience

Employer Name (1) *

Start Date (1)

End Date (1)

Position Title (1)

Employer Address - Street Number and Street Name (1)

Employer City, State, Zip (1)

Employer Website (1)

Employer Phone Number with Area Code (1)

Supervisor Name (1)

Hours Worked Per Week (1)

Job Duties (1)

Reason for Leaving (1)

Employer Name (2)

Start Date (2)

End Date (2)

Position Title (2)

Employer Address - Street Number and Street Name (2)

Employer City, State, Zip (2)

Employer Website (2)

Employer Phone Number with Area Code (2)

Supervisor Name (2)

Hours Worked Per Week (2)

Job Duties (2)

Reason for Leaving (2)

Employer Name (3)

Start Date (3)

End Date (3)

Position Title (3)

Employer Address - Street Number and Street Name (3)

Employer City, State, Zip (3)

Employer Website (3)

Employer Phone Number with Area Code (3)

Supervisor Name (3)

Hours Worked Per Week (3)

Job Duties (3)

Reason for Leaving (3)

Training, Certificates, and Licenses

Training

Certificates

Licenses

Work Skills

Office Skills

Computer Skills

Other Skills

General Questions

Professional References

Name (1) *

Occupation (1) *

Company Name (1) *

Company Address (1) *

Company City, State, Zip (1)

Phone Number (1) *

Name (2)

Occupation (2)

Company Name (2)

Company Address (2)

Company City, State, Zip (2)

Phone Number (2)

Name (3)

Occupation (3)

Company Name (3)

Company Address (3)

Company City, State, Zip (3)

Phone Number (3)

Certification

CHECK YOUR APPLICATION AND READ THE FOLLOWING STATEMENTS CAREFULLY.

If, at any time during the course of your employment, an investigation of the Court, or of a judge or employee of the Court takes place, you could be asked to assist in the investigation, including taking a polygraph (lie detector) test. You may refuse to assist in an investigation because information you provide could be used against you if criminal charges against you result from the investigation. However, if you are asked but refuse to assist in an investigation, your refusal will be grounds for immediate termination. By signing below, I affirm that the statements made in this application are complete and accurate. I understand that if I am hired, any false or misleading statement on this application may result in my dismissal, criminal prosecution, or both. I authorize the Lyndhurst Municipal Court to verify the information in this application, including conducting an investigation of my personal or employment history (including contacting former employers and supervisors), education, criminal and traffic records, or credit history through any investigative agencies of its choice. I hereby waive all provisions of law forbidding schools or colleges that I attended, or any past employers from disclosing any knowledge or information relevant to my employment and hereby consent that they may disclose such knowledge or information to this court.

Please enter your full name *

Your Phone Number *

Your Email Address *

Date of Signature *