Employment Application

THE BOROUGH OF WILKINSBURG IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL BE CONSIDERED WITHOUT REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, DISABILITY, OR PREGNANCY. ALL INFORMATION REQUESTED ON THIS APPLICATION FORM IS SOLICITED FOR THE PURPOSE OF DETERMINING ABILITIES AND SKILLS REQUIRED FOR PROPER JOB PLACEMENT AND TO FACILITATE VERIFICATION OF THE INFORMATION REQUESTED. (This application is NOT for Police Officer candidates)
  • Best number to reach you during business hours.
  • Successful applicants are required to verify citizenship or authorization to work in the United States, as well as to provide documentation of identity and employment eligibility prior to starting employment as required by law.
  • If no, please identify someone familiar with your performance with your current employer that we may contact below.

  • Education

  • NameLocationNumber of Years/Months AttendedDegrees, Credits, Certificates or Licenses 
    Add additional schools by clicking the "+" button.

  • Military

    If yes, attach a copy of discharge or separation papers, DD Form 214, if any.

  • Skills/Qualifications

  • Background

  • Employment History

    NOTE: WE RESERVE THE RIGHT TO VERIFY ANY EMPLOYMENT HISTORY OR RECORDS. List previous employment here, beginning with current or most recent position. If you have more employment to list, be sure to attach a resume before submitting.
  • EmployerDates Employed (from - to)Job TitleAddressSupervisor's Name & Number
  • EmployerDates Employed (from - to)Job TitleAddressSupervisor's Name & Number
  • EmployerDates Employed (from - to)Job TitleAddressSupervisor's Name & Number

  • References

    Please list 3 references other than relatives or former employers:
  • NameAddressPhone NumberRelationship 
    Click the "+" sign to add additional references.
  • Drop files here or
    Upload resume, cover letter, and any other relevant documentation.

  • Certification, Authorization, and Agreement

    I certify that the information supplied by me on this application form and in my resume, if any, is true and complete and does not contain any falsifications, omissions, or concealments of material fact. I authorize the Borough of Wilkinsburg to investigate the truth of this information and of any other information I may supply during a pre-employment interview. I further authorize every school, employer, person and agency identified by me on this form or in my resume to release any and all verifying information the Borough of Wilkinsburg may solicit from it or them. I further authorize the Borough of Wilkinsburg to investigate my criminal history and other aspects of my personal history, including my character and general reputation. If my application is denied in whole or in part because of information contained in criminal history records, the Borough of Wilkinsburg will so advise me. I hereby release all law enforcement agencies, my former employers, all educational institutions and programs and every other person identified by me on this form or in my resume from liability for any damage or injury to me arising out of the release of information requested by the Borough of Wilkinsburg. I understand and agree that the Borough of Wilkinsburg's acceptance of this application does not constitute any promise, expressed or implied, that I will be hired. I further understand that the Borough of Wilkinsburg does not guarantee anyone employment for any specific length of time. I therefore agree that, if I am hired, my employment may be terminated by either me or by the Borough of Wilkinsburg at any time with or without cause and without prior notice, except as may be required by law. I further understand and agree that any offer of employment the Borough of Wilkinsburg may make me (and, if I am hired, my continued employment) will be contingent upon my submission of evidence verifying that I am authorized to work in the United States and may be contingent upon my taking and passing physical examinations and drug tests. I certify that I am not a party to any contract or other obligation which would limit, interfere with or restrict my ability to work for the Borough of Wilkinsburg in any way. I hereby acknowledge that I have read this section of the employment application and fully understand the meaning and effect of signing this form.
  • You agree that typing your full name here will be the equivalent of signing a physical signature.