The Borough of Oakmont

Oakmont Borough Office

767 Fifth Street, Oakmont, PA 15139 • 412‑828‑3232

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Employment Application

Applicant Information

Last Name
Date
Address
Date you can start
Are you Employed now?
If so, may we contact your current employer?
Are you a citizen of the United States?
If no, are you authorized to work in the U.S
Have you ever worked for the Borough of Oakmont before?
Have you ever applied to the Borough of Oakmont before?
Are you related to any Borough employee?
Have you ever been convicted of a felony?

Education

High School Address
From
To
Did you graduate?
College Address
From
To
Did you graduate College?
Graduate Address
Gradute From
Gradute To
Did you graduate Gradute?
Address
From
To
Did you graduate?
Address
From
To
Did you graduate?

Previous Employment

Most Recent First
Address
From
To
May we contact your previous supervisor for a reference?
Address
From
To
May we contact your previous supervisor for a reference?
Address
From
To
May we contact your previous supervisor for a reference?

Military Service

From
To

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Date

References

Full Name
Address
Full Name
Address
Full Name
Address

Borough Office

767 Fifth Street
Oakmont, PA 15139

412-828-3232

Office Hours

Monday through Friday
8:30 a.m. to 4:30 p.m.

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