Highway Department Seasonal Application




RadDatePicker
Open the calendar popup.

RadDatePicker
Open the calendar popup.



























Reference 1 (three required, no relatives)










Reference 2 (three required, no relatives)








Reference 3 (three required, no relatives)








Work History










RadDatePicker
Open the calendar popup.

RadDatePicker
Open the calendar popup.


Education













RadDatePicker
Open the calendar popup.



Applicant's Statement
The fact set forth on this application are true and complete. I understand that any false statement is cause for immediate dismissal. I also understand that taking a vacation during my summer employment and/or failing to notify my supervisor if I will be absent could result in my immediate dismissal. I further understand, depending upon the position or program to which I am assigned, I will be obliged to work weekends, and at the hours and location the position requires. I am or will be 16 years of age on or before July 1st of this calendar year. I understand by submitting this application, it is not an offer or guarantee of employment. (Legal Name Required)

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