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  1. Personal Information
  2. Social Security Number
    Note: You will be required to provide your social security number at a later date if an offer of employment is to be made.
  3. Do you have any relatives working for the Town of Tiburon?*
  4. Position Information
  5. Type of employment desired*
    1. Education
    2. Background
    3. Can you submit proof of eligibility to work in the United States after an offer of employment has been made?
    4. Do you posses a valid California driver's license?
      Note: You may be required to provide your driver's license number and expiration date at a later date.
    5. Do you have any physical or mental condition which would limit your ability to perform the essential functions of the job for which you are applying or inhibit you from testing for this position?
    6. Qualifications
    7. Include the title, date issued, and expiration date.
    8. Note: You may omit those which indicate your race, religious creed, national origin, sex, or age.
    9. Employment History
    10. Starting with your present employer, please account for your work experience.
      Note: Be sure to fill out the application fully. Resumes may be included but will not be acceptable as a substitute for completing this section.
    11. Upload your resume to accompany your employment application.
    12. Upload your cover letter to accompany your employment application.
    13. Optional: Please upload supplemental information you think might be useful or as required by the position, such as certificates or enrollment verification.
    14. May we contact your previous supervisor for a reference?
    15. May we contact your previous supervisor for a reference?
    16. May we contact your previous supervisor for a reference?
    17. May we contact your previous supervisor for a reference?
    18. References
    19. Please list 3 persons who are willing to provide professional and / or character references for applicant.
    20. Disclaimer & Signature
    21. Certification of Applicant
      I hereby certify that all statements made in this application are true and I authorize investigation and verification of all matters contained in this application. I understand that any misstatement or omission of material fact will cause forfeiture on my part of all rights of employment with the Town of Tiburon. I further agree to be fingerprinted, to submit to a pre-employment examination, and to furnish such proof of age and eligibility to work in the USA and a DMV record as may be required.
    22. Your electronic signature above indicates your agreement with the following statements: By typing my name in the 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.
    23. Leave This Blank:

    24. This field is not part of the form submission.