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Town of Lincoln Rhode Island

HR@LincolnRI.org

100 Old River Road Lincoln, RI 02865

(401) 333-1100

Employment Application

Basic Information

Full Name

Full Address

Education Record

Date of graduation

Date of graduation

Employment Application

Employment History

Attach resume if available

Employer Address

Employer Address

Except for minor traffic violations, have you ever been convicted of a violation of the law?

(A YES answer does not necessarily preclude you from employment with this agency.) You must disclose violations, misdemeanors, and felony convictions including all DWI and DWAI convictions. You should answer NO if you have had a conviction sealed by a court, the offense resulted in a youthful offender adjudication, or if it was adjourned in contemplation of dismissal (ACOD) and the adjournment period has ended. 

References

Please provide the name and contact information for two references

Full Name

Full Address

Full Name

Full Address

Employment Application

Military

Are you a veteran?

Information to the Applicant

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.

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