City of Bedford Job Application
Please complete in full, failure to do so may result in the rejection of your application. False information is cause for rejection or dismissal. This application, along with any attachments, becomes the property of the City of Bedford.
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First Name
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Last Name
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Email Address
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Date of Birth
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Todays Date
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Address 1
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City
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State
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Postal Code
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Phone
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Position Applying For?
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Have you ever applied for employment with us?
Yes
No
If yes, please list the approximate date (month/year), and position.
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Are you legally authorized to work in the United States?
Yes
No
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Have you ever been convicted of a felony?
(Convictions will not necessarily disqualify you for employment)
Yes
No
If yes, please explain. Also, list what counties/states.
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Indicates Response Required