Welcome to the City of Perth Amboy's Recruitment Page!
Thank you for your interest in employment opportunities with the City of Perth Amboy. At this time, open full-time, part-time, temporary/seasonal, and per diem positions are posted below. Please note that the City only accepts applications for open positions. Applications may be submitted either to the Personnel Office located at:
260 High Street, Perth Amboy, NJ 08861
Or via email to: [email protected]
If there are no positions listed, please check back with us as we post all openings here on this website.
We are committed to the fair selection and development of our diverse workforce. The City of Perth Amboy ensures equal opportunity and treatment for all persons, and prohibits discrimination, regardless of race, color, religion, gender, gender identity or expression, sexuality, national origin, disability, age, veteran status, and/or other characteristics protected by law.
Employment Application
Equal access to programs, services and employment is available to all persons. Those applicants requiring accommodation to the application and/or interview process should contact a representative of the Personnel Department.
Position(s) applied for
Date of application
Referral Source:
Advertisement Employee Relative Government Employment Agnecy
Walk-in Private Employment Agency Other
Name of source (if applicable)
Applicant Information
First Name: Middle: Last Name:
Address of Applicant:
City: State: Zip:
Telephone Number: Social Security Number
Email Address:
Is a member of your immediate family * currently employed by the City? Yes No
May we contact you at work? Yes No
Number to contact: TIme: AM PM
If you are under 18, can you furnish a work permit? Yes No
Are you legally eligible for employment in this country? Yes No
Date available for work:
Type of employment Full-Time Part-Time Temporary Seasonal Educational Co-Op
Are you on lay-off and subject to recall? Yes No
Will you relocate if job requires it? Yes No
Will you travel if job requires it? Yes No
Are you able to meet the attendance requirements of the position? Yes No
Will you work overtime if required? Yes No
Have you ever been bonded? Yes No
If yes, please explain
Driver's license number (if-job related) State:
*Immediate family includes spouse, child, parent, mother-in-law, father-in-law, stepparent, stepchild, sibling, half-sibling, step-sibling, sister-in-law, brother-in-law, grandparents, daughter-in-law, son-in-law, grandchildren, niece, nephew, uncle, aunt, whether related by blood, marriage, or adoption or any person related by blood, marriage, or adoption residing in your household.
Employment History
List your last four (4) employers, assignments or volunteer activities, starting with the most recent, including military experience. Explain any gaps in employment in comments section below.
Employment #1
Employer #1: Telephone of Employer #1:
Address of Employment #1:
Job Title #1:
Immediate Supervisor and Title for Employment #1:
Reason for Leaving Employment #1:
Dates Employed: Start of Employment #1: End of Employment #1:
Hourly Rate/Salary Starting for Employment #1 ($/per): Hourly Rate/Salary Final for Employment #1 ($/per):
May we contact for reference? Yes No Later
Summarize the nature of the Work performed and job responsibilities in Employment #1:
Employment #2
Employer #2: Telephone of Employer #2:
Address of Employment #2:
Job Title #2:
Immediate Supervisor and Title for Employment #2:
Reason for Leaving Employment #2:
Dates Employed: Start of Employment #2: End of Employment #2:
Hourly Rate/Salary Starting for Employment #2 ($/per):Hourly Rate/Salary Final for Employment #2 ($/per):
May we contact for reference? Yes No Later
Summarize the nature of the Work performed and job responsibilities in Employment #2:
Employment #3
Employer #3: Telephone of Employer #3:
Address of Employment #3:
Job Title #3:
Immediate Supervisor and Title for Employment #3:
Reason for Leaving Employment #3:
Dates Employed: Start of Employment #3: End of Employment #3:
Hourly Rate/Salary Starting for Employment #3 ($/per):Hourly Rate/Salary Final for Employment #3 ($/per):
May we contact for reference? Yes No Later
Sumarize the nature of the Work performed and job responsibilities in Employment #3:
Employment #4
Employer #4: Telephone of Employer #4:
Address of Employment #4:
Job Title #4:
Immediate Supervisor and Title for Employment #4:
Reason for Leaving Employment #4:
Dates Employed: Start of Employment #4: End of Employment #4:
Hourly Rate/Salary Starting for Employment #4 ($/per):Hourly Rate/Salary Final for Employment #4 ($/per):
May we contact for reference? Yes No Later
Sumarize the nature of the Work performed and job responsibilities in Employment #4:
Comments (including explanation of any gaps in employment)
Skills and Qualifications - Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position which you are applying
Educational Background (if job related)
A. List last three (3) school attended, starting with most recent. B. List number of years completed. C. Indicate degree or diploma earned, if any. D. Grade Point Average or Class Rank and E. Major and minor field of study (if applicable).
List any foreign language(s) you know and check the boxes that describe your skill level.
References
List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references that are not related to you.
List professional, trade, business, or civic associations and any offices held. (Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability or other protected status.)
List special accomplishments, publications, awards (exclude information which would reveal sex, race, religion, national origin, age, color, disability or other protected status.)
List any additional information you would like us to consider.
It is understood and agreed upon that any misrepresentation by me on this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed.
I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
The employer is an Equal Opportunity Employer. The employer does not discriminate in employment and no question on this application is used for purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.
I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.
I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of this person’s need for an accommodation that would be required by the ADA.
All persons to be employed shall reside within the City of Perth Amboy, City Code Chapter 4-132
Signature of Applicant Date:
Affirmative Action Voluntary Information
(Completion of information below is voluntary)
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.
To be completed by applicant. Not for interview purposes. To be filed separately from application. This information is used to satisfy the Affirmative Action requirements of Section 503 of the Rehabilitation Act or as necessitated by another federal law or regulation.
As required, we comply with government regulations including Affirmative Action obligations where they apply.
In an effort to comply with requirements regarding government recordkeeping, reporting and other legal obligations, we ask that you complete this applicant data survey. Your cooperation is appreciated.
Please be advised that this survey is not a part of your official application for employment. It is considered confidential information that will not be used in any hiring decision.
Position(s) applied for (Affirmative Action):
Date for Affirmative Action:
Referral Source:
Advertisement Employee Relative Government Employment Agnecy
Walk-in Private Employment Agency Other
Name of person who referred you (if applicable)
Applicant Information
Full Name: Phone:
Full Address:
Male Female
Please check one of the following Equal Employment Opportunity Identification Groups:
White Black (not of Hispanic origin) Hispanic
American Indian/ Alaskan Native Asian/ Pacific Islander
Special Notice
Vietnam Era Veterans, Disabled Veterans and Individuals with physical or mental disabilities:
Government contractors subject to the Vietnam Era Veterans Readjustment Act of 1974 and the Rehabilitation Act of 1973 are required to take affirmative action to employ and advance in employment qualified disabled veterans, veterans of Vietnam era and qualified handicapped individuals.
You are invited to volunteer this information, if you qualify, to assist in proper placement and determining reasonable accommodation. This information will be considered confidential. Refusal to provide this information will not adversely affect your consideration for employment.
If you so wish to be identified, please check if any of the following are applicable:
Vietnam era Veteran (served between 1964-1975) Disabled Veterans Individual with a disability
Security Measure