Employment Application

Please complete every section. Your information is sent securely to the City of Colquitt. You will sign each consent section electronically.

1. Applicant
2. Eligibility
3. Education
4. Work history
5. Statement
6. Background check
7. Criminal history
8. Driver's history
9. License
10. Social Security card

Section 1 of 10: Applicant information

Fields marked with an asterisk are required.

Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodations to the application and/or interview process should notify a representative of the Human Resources Department.

Position applied for

Date

Type of employment desired

Full-Time Part-Time Temporary Seasonal Educational Coop

Are you able to meet the attendance requirements of this position?

Yes No

Desired salary

Last name

First name

Middle name

Social Security number

Encrypted on the server. It is not included in the notification email.

Email (optional)

Street address

City

State

ZIP code

Home phone

Cell phone

Alternative phone

Driver's license number

Encrypted on the server.

Driver's license state

Need help or a paper copy of a form? Call City Hall at (229) 758-1000 or visit us at 154 West St, Colquitt, GA 39837. Applicants requiring reasonable accommodations should contact the Human Resources Department.

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