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Step One

City of Thomaston
P.O. Box 672
Thomaston, GA 30286

The City of Thomaston is an equal opportunity employer. We consider all applicants for all positions qualified without regard to:
- Age
- Color
- Gender
- Marital
- National origin
- Race
- Religion
- Any other legally protected status

This application will only be considered for positions currently posted (application must be received before the closing date of the posting) and held for consideration only sixty days if the same position is posted a second time. After sixty days even if applying for the same position, you must complete a new application. You must complete an application for each individual position which you want to be considered within the posting dates.
Position Applying For
Date of Application
Date of Application
Name
Email
Telephone
Address
City
State
Zipcode
Have you filed an application here before?
1. No
2. Yes
If yes, when?
Have you ever been employed for the City of Thomaston before?
1. No
2. Yes
If yes, when?
Are you employed now?
1. No
2. Yes
May we contact your present employer?
1. No
2. Yes
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
1. No
2. Yes
(Proof of citizenship or immigration status will be required upon employment. - This employer uses E-Verify/Save.)
Are you available to work
1. Full-Time
2. Part-Time
3. Shift
4. Temporary
Are you on a lay-off subject to recall?
1. No
2. Yes
Can you travel if the job requires it?
1. No
2. Yes
Have you ever been convicted of a felony?
1. No
2. Yes
3. N/A
(Yes or No required to be indicated on application only for Police Applicants. All others may indicated N/A on application.)
If yes, please explain.
Veteran of the U.S. military service?
1. No
2. Yes
If yes, which branch?
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Step Two

List professional, trade, business or civic activities and offices held (Exclude those which indicate race, color, religion, gender, age or national origin).
Give name, address, and telephone number of three references who are not related to you and are not previous employers.
Education
Elementary School
School Name
Years Completed
Diploma/Degree
Course of Study
Specialized Training, Apprenticeships, Skills, and Extra-Curricular Activities
High School
School Name
Years Completed
Diploma/Degree
Course of Study
Specialized Training, Apprenticeships, Skills, and Extra-Curricular Activities
College/University
School Name
Years Completed
Diploma/Degree
Course of Study
Specialized Training, Apprenticeships, Skills, and Extra-Curricular Activities
Graduate/Professional
School Name
Years Completed
Diploma/Degree
Course of Study
Specialized Training, Apprenticeships, Skills, and Extra-Curricular Activities
Honors Received
Do you speak, read or write a language other than English?
1. No
2. Yes
List languages you speak fluently
List languages you speak well
List languages you speak fair
List languages you read fluently
List languages you read well
List languages you read fair
List languages which you can write fluently
List languages which you can write well
List languages wich you can write fair
Special Skills and Qualifications
Summarize any special skills or qualifications you have from education or previous employment applicable to the position you are applying for.
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Step Three

Employment Experience
Start with your present or more recent job. Include military service assignments and volunteer activities. Exclude organization names that indicate:
- Color
- Gender
- National origin
- Race
- Religion
- Other protected status.

Include ten years of employment history.
Employer
Telephone Number
Address
Job Title
Supervisor
Work Performed
Reason for Leaving
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Employer
Telephone Number
Address
Job Title
Supervisor
Work Performed
Reason for Leaving
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
Employer
Telephone Number
Address
Job Title
Supervisor
Work Performed
Reason for Leaving
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Starting Hourly Rate/Salary
Final Hourly Rate/Salary
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Step Four

I certify that the answers given on this application are true and complete to the best of my knowledge. I authorize an investigation of all statements contained in this application for employment, as may be necessary in arriving at an employment decision. In the event of employment, I understand that any false or misleading information given in my application or any interview(s) may result in discharge. I understand, also, that I am required to abide by all of the rules and regulations of the City of Thomaston if I am offered and accept employment.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature
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