Please fill out the application below to apply for an open position. Failure to submit a completed application may be reason for your application to not be considered. You must have JavaScript enabled to use this form. Name & Address First Name * Surname * Address 1 * Address 2 City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Primary Phone Number * Business Phone Number Cell Phone Number Email * Position applied for * None SelectedJP007-26 - Librarian 1 or 2, Youth Services, 35 hr/wk (William G. Rohrer Memorial Library - Haddon Twp Branch)JP 009-26 - Assistant Supervisor Building Services (System-Wide, Facilities/Fleet)JP 008-26 - Building Maintenance Worker/Maintenance Repairer (System-Wide, Facilities)Job Posting: JP010-26 - Librarian 1 or 2, Youth Services, 35 hr/wk (Gloucester Twp-Blackwood Rotary Public Library)Job Posting: JP010-26 - Librarian 1 or 2, Youth Services, 35 hr/wk (South County Regional Branch Library) Are you 18 years old or older? * yes no (If under 18, you will be required to submit working papers if offered employment.) Are you eligible for employment in the U.S.? * yes no Do you possess a driver’s license that is valid in New Jersey? * yes no Have you ever worked or been educated under a different name? * yes no Have you ever worked for the County of Camden before? * yes no If yes, please specify * GED, College and Graduate SchoolsList any high school or equivalent, colleges, universities and graduate schools which you have attended. School Name Credit Hours * Major * Type of Degree * Did You Graduate * - Select -yesno Name of School Credit Hours * Major Area of Study * Type of Degree * Did You Graduate * - Select -yesno Name of School Credit Hours * Major Area of Study * Type of Degree * Did You Graduate * - Select -yesno Name of School Credit Hours * Major Area of Study * Type of Degree * Did You Graduate * - Select -yesno Other Schools or TrainingInclude vocational, technical and other schools you have attended that are related to the title for which you are applying. If it is not a full curriculum, be specific as to the number of hours. Name and Location Subject or Courses * Was Course Completed? * - Select -yesno Name and Location Subject or Courses * Was Course Completed? * - Select -yesno Name and Location Subject or Courses * Was Course Completed? * - Select -yesno Name and Location Subject or Courses * Was Course Completed? * - Select -yesno Other EducationUse this space to describe any licenses, certificates, registrations, skills, crafts, including machines or equipment operated which relates to the position for which you are applying. Other Education Previous EmploymentStart with present or last position and work back. Include U.S. Military and volunteer experience. Please complete in full even though you may add your resume later. Position From * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Until * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Hours Worked * Full Time Part Time Hours per week * Employer’s Name & Address * Supervisor’s Name * Employer’s Phone Number * Reason for Leaving * Description of Duties * Position From * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Until * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Hours Worked * Full Time Part Time Hours per week * Employer’s Name & Address * Supervisor’s Name * Employer’s Phone Number * Reason for Leaving * Description of Duties * Position From * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Until * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Hours Worked * Full Time Part Time Hours per week * Employer’s Name & Address * Supervisor’s Name * Employer’s Phone Number * Reason for Leaving * Description of Duties * Are you engaged in other business activity or employment which you desire to continue if employed by the County of Camden? * yes no Do you have any objection to our contacting any of your previous employers regarding your employment? * yes no Do you or does a member of your immediate family own or have an interest in any organization that deals with, is regulated by or is otherwise affected by the operations of any department of the County of Camden? * yes no Do you have any relatives that work for the County? * yes no Name of relative * Relative’s position * ReferencesList three business references whom we may contact for information concerning your qualifications. Name * Email * Phone * Occupation * Name * Email * Phone Number * Occupation * Name * Email * Phone Number * Occupation * In case of emergency notify Name * Day Phone * Evening/Cell Phone Resume Paste your resume here I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation. I acknowledge that I have read and understand the above statement and hereby grant permission to confirm the information supplied on this application by me. I understand that if I submit an incomplete application, it may be cause for disqualification. Signature By signing you agree to the above statement. Signer Name * Leave this field blank
