Form Center

Job Application Form

An Equal Opportunity Employer
The City of Atlantic Beach is an equal employment opportunity employer. The City, in its employment practices, does not discriminate on the basis of race, color, age, creed, religion, sex, national origin, disability, marital status or other classification prohibited by State or Federal Law. No information should be given in this application which would violate State or Federal Law. The city supports a drug free work place. Drug testing is conducted.
Click below on "continue" to apply for this job.
Continue

Have you served in the U.S. Armed Services?*
1. Yes
1. No
Branch
Type of discharge:
Do you claim Veteran's Preference under Florida Statute 295.085 for Item 3 Service?*
1. Yes
1. No
Continue |Go Back

Which position are you applying for?*
Are you eligible to work in the United States? (Verification will be required before employment) *
1. Yes
1. No
Type of employment desired*
1. Full Time
1. Part Time
1. Internship
Salary desired*
Hours of work (per week) desired*
How did you hear about the position?*
If selected for employment, when would you be available to start to work?
If selected for employment, when would you be available to start to work?
Upload Your Resume
Continue |Go Back

(From Most Recent)
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employed From - To (Date)*
Employed From - To (Date) Start Date
—
Employed From - To (Date) End Date
Salary
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employed From - To (Date)
Salary
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employed From - To (Date)
Salary
Continue |Go Back

Note: Answer the following questions only if you have read the Job description of the position for which you are applying (Job description is available upon request.)
Are you able to perform all the essential job functions as listed on the job description?
1. Yes
1. No
If no, list those that you are unable to perform:
Are there any accommodations that could be made which would allow you to perform the essential functions listed above?
1. Yes
1. No
If yes, please indicate:
Continue |Go Back

I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.

I understand that the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.

Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*
Continue |Go Back

Completion of this form is OPTIONAL. The following information will be used for Equal Employment Statistical Information and identification purposes only. This form will be detached and not processed / Provided with application form. It would be helpful if you provided the following information.
Name:
Position applied for:
Ethnic Background:
If other, please specify:
Sex
1. Male
1. Female
Date of Birth:
Date of Birth:
Marital Status:
Do you have a disabling or handicapping condition ?
1. Yes
1. No
Continue |Go Back

Leave This Blank: