Free Maine Employment Application Form in PDF Open Maine Employment Application Editor Now

Free Maine Employment Application Form in PDF

The Maine Employment Application form is a crucial document used by employers in Maine to gather essential information from job applicants. This form not only helps streamline the hiring process but also ensures compliance with state employment laws. Understanding its components and requirements is vital for both employers and prospective employees to navigate the job market effectively.

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Table of Contents

The Maine Employment Application form serves as a crucial document for job seekers in the state, outlining essential information that employers require during the hiring process. This form typically includes sections for personal details, such as name, address, and contact information, which help employers establish the identity of applicants. Additionally, it requests employment history, allowing candidates to showcase their previous roles, skills, and experiences relevant to the position they seek. Educational qualifications are also a key component, as they provide insight into an applicant's academic background. Furthermore, the form may include questions regarding references and availability, which assist employers in evaluating a candidate’s fit for the job and their potential start date. Understanding how to accurately complete this application is vital, as it can significantly impact the chances of securing an interview and ultimately, a job offer.

Form Sample

State of Maine Employment Application

First

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

Last Name:

 

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

Town:

 

 

 

 

 

 

 

State:

 

Zip:

 

Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you a current or former employee of the State of Maine?

Yes

No

 

 

 

If Yes, agency previously worked at:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name 1:

 

 

 

 

 

 

Name 3:

 

 

 

 

Name 2:

 

 

 

 

 

 

Name 4:

 

 

 

 

Job title you are applying for:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How did you hear about this position?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you at least 18 years of age?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Do you have a valid driver’s license?

Yes

No

 

State Issued:

 

 

 

If Yes; which type: Class A Class B

Class C

 

 

 

 

 

 

 

 

 

 

 

List your geographical location preference (i.e. Augusta/Kennebec County; Portland/Cumberland County etc.)

Are you willing to work overtime? Yes No What shifts are you willing to work? 1st 2nd 3rd

Veteran’s Preference: Maine law provides a preference to qualified veterans and Gold Star spouses by ensuring they are offered an interview. If you are a veteran or a Gold Star spouse and wish to take advantage of this preference, please indicate by checking the appropriate box below. Documentation is required, submit appropriate form with this application. For more information, visit the following website: http://www.maine.gov/bhr/state_jobs/veteran.htm

Not Claimed

Veteran (requires DD Form 214)

Gold Star Spouse (requires DD form 1300)

Disability Preference: Maine law provides a hiring preference to persons with disabilities by ensuring that one person with a disability is offered an interview if they meet the minimum qualifications of this position. If you believe that you qualify and wish to request a disability preference, please indicate by checking the appropriate box below. For more

information on the Disability Preference, visit: http://legislature.maine.gov/statutes/5/title5sec7054-C.html

Claimed

Not Claimed

Are you currently authorized to work in the United States?

Yes No

Please attach a cover letter and resume containing your work history (including month/year worked, full time or

part time), and any additional documentation requested in the Job Bulletin

-OR-

Use the attached Employment-Education History form.

Please read and sign the following statement:

I certify, under penalty of law, that the information given in this application and supporting documents (resume/cover letter etc.) are correct and complete to the best of my knowledge. I am aware that, should investigation at any time show falsification, I will not be considered for employment or, if employed, I may be dismissed. I hereby authorize the State of Maine, the Department of Administrative and Financial Services, Bureau of Human Resources and agencies to whom my name is certified/referred to make all necessary investigations concerning me, my work habits, character, or my action in any transaction. I authorize the State of Maine to check my driving record if the position for which I am applying requires driving. I understand that I may be asked to submit to a pre-employment drug test, a credit history check and/or a criminal history background check as a condition of employment. I authorize the Bureau of Human Resources or its assignee to receive and make available to other state agencies my academic records or other material pertinent to my qualifications, and further authorize and request each former employer, person given as reference, educational institution or organization (including law enforcement agencies) to provide all information that may be sought in connection with my application. I understand and agree that I will be required to ratify the information contained in this application by signature as a condition of employment.

Signature

__________________________________

Date

____________

Important Instructions for Completing Employment-Education History

To evaluate your qualifications, please provide accurate and complete information regarding your education, previous job tasks and levels of responsibility. Your qualifications may be based on relevant work history, to include part time, Temporary and Volunteer experience. Be thorough and specific in the detailing of duties.

Please complete the form below (attach additional documentation if needed), or attach a resume containing your work history to include years worked at each employer.

 

Education

 

 

 

 

 

 

 

 

Name and Location

Credit Hours

Major

Minor

Graduate? /Degree

Type

 

 

 

 

High School

College/University

Grad School

Prof School

Other

Licenses, Certifications and Registrations

Name of License, Certification or Registration

License Number

State of Issue

Expiration Date

Employer # 1:

Employment History

From:

Month/Year

To:

Month/Year

 

 

 

 

Complete Address and Phone Number:

Your Title

Your Supervisor’s Name & Title:

Weekly Hours Worked:

Duties:

Reason for

Leaving:

Employer # 2:

From:

Month/Year To:

Month/Year

Complete Address and Phone Number:

Your Title

Your Supervisor’s Name & Title:

Duties:

Reason for

Leaving:

Weekly Hours Worked:

Employer # 3:

 

 

 

From:

Month/Year

 

To:

Month/Year

 

 

 

 

 

 

 

 

 

 

 

 

Complete Address and

 

 

 

 

 

 

 

 

Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

Weekly Hours

 

 

 

 

 

 

Worked:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Supervisor’s Name & Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

 

 

Leaving:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer # 4:

 

From:

Month/Year

 

To:

Month/Year

 

 

 

 

 

 

 

 

Complete Address and

 

 

 

 

 

 

 

Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

Weekly Hours

 

 

 

 

 

Worked:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Supervisor’s Name & Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

 

 

Leaving:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer # 5:

 

From:

Month/Year

 

To:

Month/Year

 

 

 

 

 

 

 

 

Complete Address and

 

 

 

 

 

 

 

Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Title

 

 

 

 

 

 

 

Weekly Hours

 

 

 

 

 

Worked:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Supervisor’s Name & Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duties:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

 

 

 

 

 

 

 

Leaving:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT INFORMATION SURVEY

INSTRUCTIONS TO THE APPLICANT: The State of Maine is an Equal Opportunity Employer. The information solicited on this page is being compiled by the Maine Bureau of Human Resources to comply with Federal record-keeping regulations and EEO/Affirmative Action requirements. You are not required to furnish this information, but your cooperation is encouraged. The information on this form is CONFIDENTIAL. The page will be removed from your application prior to review and destroyed after data compilation.

RACIAL/ETHNIC DEFINITIONS

0.WHITE: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

1.BLACK or AFRICAN AMERICAN: A person having origins in any of the black racial groups of Africa.

2.HISPANIC or LATINO: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

3.ASIAN: A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

4.AMERICAN INDIAN OR ALASKA NATIVE: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

5.Not Coded (Not Reported)

6.NATIVE HAWAIIAN or OTHER PACIFIC ISLANDER: A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

7.TWO OR MORE RACES: All persons who identify with more than one of the above races.

1. I have read the paragraph above and do not wish to provide the information.

2.Enter your date of birth (month) (day) (year)

3.Enter your racial/ethnic group code number (refer to definitions at left)

4.What is your gender?

1. Male

2. Female

3. Prefer not to disclose

DEFINITIONS OF VETERANS SUBJECT TO EEO/AFFIRMATIVE

ACTION REGULATIONS:

(The requirements are different from State Veterans Preference) VIETNAM ERA VETERAN: One who served on active duty for more than 90 days, any part of which occurred between August 5, 1964 and July 7, 1975 and was discharged or released other than a dishonorable discharge, or was discharged or released from active duty for a service-connected disability if any part of such active duty was performed between August 5, 1964 and July 7, 1975. DISABLED VETERAN: A person entitled to disability compensation under laws administered by the Veterans Administration for a disability rated at 30 percent or more, or a person whose release from active duty was for a disability incurred or aggravated in the line of duty.

PLEASE PLACE AN X IN ALL BOXES WHICH APPLY TO YOU (refer to definitions at left)

5. Vietnam Era Veteran

6. Disabled Veteran

DEFINITION FOR DISABILITY

Any person who has a physical or mental impairment which substantially limits one or more of such person’s major life activities,

has a record of such impairment, or is regarded as having such impairment has a disability under the Americans With Disabilities Act. Major life activities include: walking, seeing, hearing, learning, self- care, speaking, lifting, reaching, thinking performing manual tasks, breathing, working and interacting with others.

PLEASE PLACE AN X IN ALL BOXES WHICH APPLY TO YOU (refer to definitions at left)

7. Have a disability as defined

8. Interview accommodations may be necessary due to a disability

Document Overview

Fact Name Description
Governing Laws The Maine Employment Application is governed by the Maine Human Rights Act, which prohibits discrimination in employment based on race, color, sex, sexual orientation, age, and other protected characteristics.
Required Information Applicants must provide personal information, including their name, address, and contact details. This ensures that employers can reach candidates for further communication.
Employment History The form typically requires applicants to list their previous employment. This section helps employers assess the candidate's work experience and suitability for the position.
References Most applications ask for references. Providing references allows potential employers to verify the applicant's qualifications and work ethic.
Signature Requirement Applicants must sign the form, affirming that the information provided is accurate. This signature serves as a declaration of honesty and integrity.
Confidentiality Clause The application often includes a statement regarding the confidentiality of the information provided. This reassures applicants that their personal data will be protected.
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